MS. ANNE LUSBYDENHAM LCSW NPI 1336200542

NPI Information

NPI: 1336200542
Provider Name: MS. ANNE LUSBYDENHAM, LCSW
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
3635 MANASSAS DR
ROANOKE, VA
ZIP 24018
Phone: (540) 774-4686
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MS. Anne Lusbydenham, LCSW is a mental health counselor in Roanoke, VA. MS. Anne Lusbydenham, LCSW NPI is 1336200542. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3635 MANASSAS DR
ROANOKE, VA
ZIP 24018-031
Phone: (540) 774-4686
Fax: (540) 989-8893

The enumeration date for this NPI number is 12/12/2006 and was last updated on 10/1/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	0904002338	VIRGINIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	M-5040001	MEDICARE UPIN	VIRGINIA
2	624026	MEDICARE UPIN	VIRGINIA
3	112519	MEDICARE UPIN	VIRGINIA
4	829948W01	MEDICARE ID-TYPE UNSPECIFIED	VIRGINIA
5	7775545	MEDICARE UPIN	VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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