Provider Demographics
NPI:1376207191
Name:YOST, LISA N (LCSW-C)
Entity type:Individual
Prefix:
First Name:LISA
Middle Name:N
Last Name:YOST
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:604 GREYHOUND RD
Mailing Address - Street 2:
Mailing Address - City:ESSEX
Mailing Address - State:MD
Mailing Address - Zip Code:21221-1803
Mailing Address - Country:US
Mailing Address - Phone:443-814-8852
Mailing Address - Fax:
Practice Address - Street 1:604 GREYHOUND RD
Practice Address - Street 2:
Practice Address - City:ESSEX
Practice Address - State:MD
Practice Address - Zip Code:21221-1803
Practice Address - Country:US
Practice Address - Phone:443-814-8852
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-27
Last Update Date:2021-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD169821041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical