Ms. Lisa Diane Barkstall
Clinical Social Worker
1801 Fox Dr
Champaign
, Illinois 61820-7236
Ms. Lisa Diane Barkstall
Clinical Social Worker
1801 Fox Dr
Champaign
, Illinois 61820-7236
(773) 703-3583
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About
Features
Specialties
- Clinical Social Worker
Languages spoken
- English
Location
First Address
- Ms. Lisa Diane Barkstall
- 704 Arlington Ct
- Champaign, IL
- Zip : 61820-5002
- Phone : (773) 703-3583
Second Address
- Ms. Lisa Diane Barkstall
- 1801 Fox Dr
- Champaign, IL
- Zip : 61820-7236
- Phone : (217) 398-8080
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1041C0700X | Clinical Social Worker | 149.005051 | IL |
National Provider Identifier
| NPI | 1003011321 |
|---|---|
| Provider Name | Ms. Lisa Diane Barkstall |
| First Address | Champaign, IL 61820-5002 |
| Second Address | Champaign, IL 61820-7236 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/06/2007 |
| Last Update Date | 08/04/2014 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.