Provider Demographics
NPI:1831163781
Name:BIMSON, ELIZABETH P (LCSW)
Entity type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:P
Last Name:BIMSON
Suffix:
Gender:F
Credentials:LCSW
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Mailing Address - Street 1:780 LYNNHAVEN PKWY
Mailing Address - Street 2:SUITE 400
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23452-7332
Mailing Address - Country:US
Mailing Address - Phone:757-468-0550
Mailing Address - Fax:757-468-9992
Practice Address - Street 1:780 LYNNHAVEN PKWY SUITE 400
Practice Address - Street 2:ATLANTIC PSYCHIATRIC SERVICES
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23452-7332
Practice Address - Country:US
Practice Address - Phone:757-468-0550
Practice Address - Fax:757-468-9992
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA09040001961041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
1043769OtherCIGNA
132209OtherMANAGED HEALTH NETWORK
C02527OtherMCARE GROUP
P00129373OtherMEDICARE RAILROAD
031723OtherVALUE OPTIONS
049382OtherMAGELLAN
094942OtherANTHEM HEALTH KEEPERS
087102OtherSENTARA OPTIMA
213529OtherMAMSI
33330271OtherMULTIPLAN
094942OtherANTHEM HEALTH KEEPERS