Provider Demographics
NPI:1255683389
Name:ASIAMAH, LISA C (LCSW)
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:C
Last Name:ASIAMAH
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6718 PATTERSON AVE
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23226-3419
Mailing Address - Country:US
Mailing Address - Phone:804-282-5644
Mailing Address - Fax:804-673-2061
Practice Address - Street 1:6718 PATTERSON AVE
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23226-3419
Practice Address - Country:US
Practice Address - Phone:804-282-5644
Practice Address - Fax:804-673-2061
Is Sole Proprietor?:No
Enumeration Date:2012-10-13
Last Update Date:2022-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040075391041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical