Provider Demographics
NPI:1831338854
Name:MCKEAN, LISA H (MSW, LCSW, LCAS, CCS)
Entity type:Individual
Prefix:MRS
First Name:LISA
Middle Name:H
Last Name:MCKEAN
Suffix:
Gender:F
Credentials:MSW, LCSW, LCAS, CCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1612 ASHEVILLE HWY
Mailing Address - Street 2:SUITE 3
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28791-3473
Mailing Address - Country:US
Mailing Address - Phone:828-693-6784
Mailing Address - Fax:828-693-6785
Practice Address - Street 1:1612 ASHEVILLE HWY
Practice Address - Street 2:SUITE 3
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28791-3473
Practice Address - Country:US
Practice Address - Phone:828-693-6784
Practice Address - Fax:828-693-6785
Is Sole Proprietor?:No
Enumeration Date:2009-02-14
Last Update Date:2009-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0051921041C0700X
FLSW00018561041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical