IndividualActive
Lisa Congdon, LICSW, MVF-CSW
NPI 1730684820 · Clinical Social Worker · Patrick Afb, FL
Provider details
- NPI number
- 1730684820
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LICSW, MVF-CSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- LW60580401 (WA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
1381 S Patrick Dr
Patrick Afb, FL 32925-3606
Phone: (321) 494-8241
Approximate (ZIP-level) locationGet directions
Mailing address
1381 S Patrick Dr
Patrick Afb, FL 32925-3606
Additional practice locations (1)
- Building 411, 2nd FloorMcas IwakuniFpo, AP 96310-0011Phone: (804) 340-8755
Registry dates
- Enumerated
- 2018-03-29
- Last updated
- 2020-05-22
- Certified
- 2020-05-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.