Individual provider · Type 1 NPI

Lisa Pergament Runyon, LMHC4906

Clinical Social Worker · Tampa, FL

NPI number 1750417200 Active

Practice location

Mental Health Care Inc, 5707 N 22nd Street
Tampa, FL 33610

Call (813) 272-2878 Map

Fax (813) 272-3766

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLMHC 4906 (FL)

Clinical Social Worker: 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 interpers…

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About NPI 1750417200

Lisa Pergament Runyon, LMHC4906's National Provider Identifier is 1750417200, issued on Feb 26, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Tampa, FL. The record was last updated on Jul 8, 2007.