Individual
LISBETH A DODD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0890000824
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1010043
—
VT
01
—
1060830
CIGNA BEHAVIORAL HEALTH
—
01
—
1432750
COVENTRY HEALTH CARE
VT
01
—
39952
BLUE CROSS BLUE SHIELD
VT
01
—
410723
TRICARE
—
01
—
576753
VALUE OPTIONS
—
Enumeration date
09/24/2006
Last updated
06/12/2011
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