MS. LISA IERVOLINO PANELO


Address: 4099 Foxwood Dr, Suite 200, Virginia Beach, VA 23462-5222
Phone: 7574678184

MS. LISA IERVOLINO PANELO (NPI# 1376767244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376767244
Entity Type Individual
Full Name MS. LISA IERVOLINO PANELO
Other Name LISA JARRETT IERVOLINO
Credential MS, LCSW
Practice Address 4099 Foxwood Dr
Suite 200
Virginia Beach
VA 23462-5222
Mailing Address 2253 Cape Arbor Dr
Virginia Beach
VA 23451-1530
Practice Telephone 7574678184
Mailing Telephone 7573430064
Enumeration Date 2007-04-12
Last Update Date 2018-12-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
0904006502 VA Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
VA 1376767244 05
VA NPI 1376767244 01

Office Location

Street Address 4099 FOXWOOD DR
SUITE 200
City VIRGINIA BEACH
State VA
Zip Code 23462-5222

Providers in the same location

NPI Name Taxonomy Address Enumeration
1396772497 Nelson G. Monroy Psychiatry & Neurology 4099 Foxwood Dr, Suite 203, Virginia Beach, VA 23462-5222 2006-06-26
1821464405 Nicole Gibbs Social Worker 4099 Foxwood Dr, Virginia Beach, VA 23462-5222 2015-08-18
1699183012 Leah Walker Social Worker 4099 Foxwood Dr, Suite 200, Virginia Beach, VA 23462-5222 2014-07-29
1518300516 Arisza N Hillman Social Worker 4099 Foxwood Dr, Virginia Beach, VA 23462-5222 2013-04-10
1184932105 Community Behavioral Resource Group Counselor 4099 Foxwood Dr, Suite 108, Virginia Beach, VA 23462-5222 2010-09-24
1659505394 Hope Psychotherapy LLC Clinic/Center 4099 Foxwood Dr, Suite 203, Virginia Beach, VA 23462-5222 2009-05-10
1164608220 Michael Alexander Keefer Counselor 4099 Foxwood Dr, Suite 200, Virginia Beach, VA 23462-5222 2008-01-18

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NPI Name Taxonomy Address Enumeration
1912534082 Cheyenne James Counselor 297 Independence Blvd., Virginia Beach, VA 23462 2020-03-26
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1003475153 Keyuri S Shah Physical Therapist 5701 Cleveland St, Ste 600, Virginia Beach, VA 23462 2019-06-12
1629561329 Mary Katherine Pratt Physician Assistant 828 Healthy Way Ste 350, Virginia Beach, VA 23462 2018-06-07
1801387808 Matrixx Healthcare LLC Respite Care 405 S Parliament Dr Ste 106, Virginia Beach, VA 23462 2018-05-24
1518471671 Newtown Chiropractic Center Pllc Clinic/Center 5777 Princess Ann Road, Virginia Beach, VA 23462 2017-11-28
1528587995 Gary Lee Alexander II Counselor 870 N Newtown Road, Virginia Beach, VA 23462 2017-09-16
1801328810 Servitium Med Va, LLC Durable Medical Equipment & Medical Supplies 4445 Corporation Lane Suite 291, Virginia Beach, VA 23462 2017-03-29
1215476171 Johnnie Walter Cox IIi Emergency Medical Technician, Basic 5163 Cleveland Street, Virginia Beach, VA 23462 2017-02-13
1225570179 Holly Balsamo Occupational Therapy Assistant 5345 Marian Lane, Virginia Beach, VA 23462 2016-11-09
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1801497037 Miriam Matthews Social Worker 503 Arbre Ct, Virginia Beach, VA 23451-6001 2020-11-04
1336760495 Rdh Counseling and Consulting, LLC Social Worker 5301 Providence Rd Ste 40, Virginia Beach, VA 23464-4128 2020-04-29
1326674045 Jennifer Diano Hart Social Worker 1765 Gravenhurst Dr, Virginia Beach, VA 23464-8651 2020-03-13
1225677321 Jill H Motcheck Social Worker 2020 Adobe Ct, Virginia Beach, VA 23456-4924 2020-01-06
1386283646 Shadiyah N. Rozier Social Worker 1704 Halesworth Ln, Virginia Beach, VA 23456-4885 2020-01-03
1093350316 Emmy Louise Ray Social Worker 3712 Prince Andrew Ln, Virginia Beach, VA 23452-3911 2019-11-11
1033760145 Shaena Wiggins Social Worker 208 Olivine Ave Apt 104, Virginia Beach, VA 23462-4489 2019-09-20
1003475575 Erin Mcmenamin Social Worker 1909 Split Rail Dr, Virginia Beach, VA 23453-6614 2019-06-10
1851853410 Paige Kinnison Social Worker 258 N Witchduck Rd, Virginia Beach, VA 23462-6556 2019-04-03
1972077972 Embrace Therapeutic Solutions LLC Social Worker 5250 Challedon Dr, Virginia Beach, VA 23462-6304 2019-01-14
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Competitor

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City VIRGINIA BEACH
Zip Code 23462

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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