Provider Demographics
NPI:1730383647
Name:LUBKEMANN, APRIL M (LCSW)
Entity type:Individual
Prefix:MRS
First Name:APRIL
Middle Name:M
Last Name:LUBKEMANN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:144 THADDEUS LN
Mailing Address - Street 2:
Mailing Address - City:BENTONVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22610-2756
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:144 THADDEUS LN
Practice Address - Street 2:
Practice Address - City:BENTONVILLE
Practice Address - State:VA
Practice Address - Zip Code:22610-2756
Practice Address - Country:US
Practice Address - Phone:540-671-9538
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-13
Last Update Date:2021-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040064341041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDR685OtherCARE FIRST
VA1730383647Medicaid
VA333727OtherMHN
VA730929000OtherMAGELLAN