Provider Demographics
NPI:1538467071
Name:LIPSCOMB-KING, PIA P (MSW)
Entity Type:Individual
Prefix:MRS
First Name:PIA
Middle Name:P
Last Name:LIPSCOMB-KING
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:MRS
Other - First Name:PIA
Other - Middle Name:P
Other - Last Name:LIPSCOMB
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:1425 UNIVERSITY BLVD E
Mailing Address - Street 2:SUITE 245
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20783-4618
Mailing Address - Country:US
Mailing Address - Phone:202-280-9954
Mailing Address - Fax:
Practice Address - Street 1:6300 44TH AVE
Practice Address - Street 2:
Practice Address - City:UNIVERSITY PARK
Practice Address - State:MD
Practice Address - Zip Code:20782-2122
Practice Address - Country:US
Practice Address - Phone:240-667-2354
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-08
Last Update Date:2015-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X, 101YP2500X, 174H00000X, 104100000X
DCLG101145104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No174H00000XOther Service ProvidersHealth Educator