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NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

LISA D BARKSTALL, LCSW
1801 FOX DR
CHAMPAIGN, IL61820-7236
 Phone: 217-398-8080
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for LISA D BARKSTALL · (Female)

NPI # 1003011321
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 06/18/2007
Last updated 04/08/2014 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 149.005051
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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