JACQUELYN CLARISSA LUSK (NPI# 1730678632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730678632 |
| Entity Type | Individual |
| Full Name | JACQUELYN CLARISSA LUSK |
| Credential | SW |
| Practice Address |
1340 Braddock Place Alexandria VA 22314 |
| Mailing Address |
1340 Braddock Pl Alexandria VA 22314-1693 |
| Practice Telephone | 7037064440 |
| Mailing Telephone | 7037064440 |
| Enumeration Date | 2018-05-07 |
| Last Update Date | 2018-05-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041S0200X |
Social Worker Specialization: School |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174944797 | Jacquelyn Lusk | Licensed Practical Nurse | 22a Mechanic St, Holley, NY 14470-1157 | 2013-12-27 |
| Street Address |
1340 BRADDOCK PLACE |
| City | ALEXANDRIA |
| State | VA |
| Zip Code | 22314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992359889 | Faustina Darko Sarpong | Registered Nurse | Alexandria Residential Treatment Center, 2355 Mill Rd, Alexandria, VA 22314 | 2019-07-29 |
| 1184276396 | Alyah Ann Gilberry | Behavior Technician | 2801 Duke St, Alexandria, VA 22314 | 2019-07-09 |
| 1194287961 | Myeyedr Optometry of Virginia, Pllc | Optometrist | 915 N Saint Asaph Street, Suite 130, Alexandria, VA 22314 | 2019-04-02 |
| 1508321860 | Turning Point Counseling Services LLC | Social Worker | 500 North Washington St, Alexandria, VA 22314 | 2019-01-31 |
| 1841769981 | Melanie Lynn Froemke | Social Worker | Alexandria Place Therapy, 108a South Columbus St, Alexandria, VA 22314 | 2018-11-19 |
| 1245718394 | Kmt Medical Transport LLC | Non-emergency Medical Transport (VAN) | 1727 King St Ste 300, Alexandria, VA 22314 | 2018-07-31 |
| 1083142160 | Kings Medical Transportation Incorported | Non-emergency Medical Transport (VAN) | 1727 King Strreet, Suite 300, Alexandria, VA 22314 | 2017-06-01 |
| 1114478930 | Tanne B Gabler | Social Worker | 719 S. Fayette St, Alexandria, VA 22314 | 2016-10-17 |
| 1902359409 | Emily Chow | Dentist | 1725 Duke St, Suite Gr03, Alexandria, VA 22314 | 2016-08-01 |
| 1831550433 | Donna Barnsley | Social Worker | 300 N. Washington St., Suite 607, Alexandria, VA 22314 | 2016-03-10 |
| Find all providers in zip 22314 | ||||
| Taxonomy Code | 1041S0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881191484 | Josefina Rodrigo | Social Worker | 1340 Braddock Pl # 3, Alexandria, VA 22314-1693 | 2018-04-10 |
| 1326680836 | Diva Rojas | Social Worker | 1340 Braddock Pl, Alexandria, VA 22314-1693 | 2019-10-16 |
| 1871141168 | Kelly Robinson | Social Worker | 1340 Braddock Pl, Alexandria, VA 22314-1693 | 2019-08-29 |
| 1356907349 | Angela J. Lee | Social Worker | 1340 Braddock Pl, Alexandria, VA 22314-1693 | 2019-05-15 |
| 1356905541 | Michelle Shimizu | Social Worker | 1340 Braddock Pl, Alexandria, VA 22314-1693 | 2019-04-24 |
| 1215496104 | Stephanie Cruz | Social Worker | 1340 Braddock Pl, Alexandria, VA 22314-1693 | 2019-03-19 |
| 1841755667 | Beverly Woolard | Social Worker | 1340 Braddock Pl, Alexandria, VA 22314-1693 | 2019-02-06 |
| 1447733621 | Leigh Lapaglia | Social Worker | 1340 Braddock Pl, Alexandria, VA 22314-1693 | 2018-09-13 |
| 1982181822 | Jocelyn Gehrke | Social Worker | 1340 Braddock Pl, Alexandria, VA 22314-1693 | 2018-07-24 |
| 1114415569 | Lee Michael Britton | Social Worker | 6520 Diana Ln, Alexandria, VA 22310-3012 | 2018-05-01 |
| Find all providers in ALEXANDRIA | ||||
| City | ALEXANDRIA |
| Zip Code | 22314 |
Please comment or provide details below to improve the information on JACQUELYN CLARISSA LUSK.
| 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.