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Contact Information

LISA RADKE, LCSW
550 SOUTHLAKE BLVD
NORTH CHESTERFIELD, VA23236
 Phone: 804-601-8233
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for LISA RADKE · (Female)

NPI # 1174940233
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 03/26/2014
Last updated 05/21/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • VA License # 0904008560
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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