Provider Demographics
NPI:1801033519
Name:SCHLESSINGER, LISA TEITEL (LCSW-C)
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:TEITEL
Last Name:SCHLESSINGER
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:LISA
Other - Middle Name:BETH
Other - Last Name:TEITEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10007 BALD CYPRESS DR
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-5412
Mailing Address - Country:US
Mailing Address - Phone:301-309-0393
Mailing Address - Fax:
Practice Address - Street 1:10007 BALD CYPRESS DR
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-5412
Practice Address - Country:US
Practice Address - Phone:301-309-0393
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-16
Last Update Date:2009-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD086011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical