Provider Demographics
NPI:1295882975
Name:RISSMEYER, DAVID JOHN (MSW)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:JOHN
Last Name:RISSMEYER
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:699 ROMAN RD
Mailing Address - Street 2:
Mailing Address - City:MOUNT SIDNEY
Mailing Address - State:VA
Mailing Address - Zip Code:24467-2320
Mailing Address - Country:US
Mailing Address - Phone:540-234-0083
Mailing Address - Fax:540-433-9231
Practice Address - Street 1:96 CAMPBELL ST
Practice Address - Street 2:
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:22801-4010
Practice Address - Country:US
Practice Address - Phone:540-433-1546
Practice Address - Fax:540-433-9231
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040003551041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical