Provider Demographics
NPI:1144615709
Name:BATTLE, CARISSA (LCSW)
Entity Type:Individual
Prefix:
First Name:CARISSA
Middle Name:
Last Name:BATTLE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:CARISSA
Other - Middle Name:
Other - Last Name:LYNCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:75 ASHCRAFT CV
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:TN
Mailing Address - Zip Code:38340-7440
Mailing Address - Country:US
Mailing Address - Phone:540-336-6111
Mailing Address - Fax:
Practice Address - Street 1:873 ROUND HILL RD
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22602-2237
Practice Address - Country:US
Practice Address - Phone:540-336-6111
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-31
Last Update Date:2015-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040088861041C0700X
TN62771041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical