Provider Demographics
NPI:1982959524
Name:HEDRICK, LISA (LCSW-C)
Entity type:Individual
Prefix:
First Name:LISA
Middle Name:
Last Name:HEDRICK
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:LISA
Other - Middle Name:
Other - Last Name:WARDLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:15225 ROSECROFT RD
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20853-1864
Mailing Address - Country:US
Mailing Address - Phone:202-230-1550
Mailing Address - Fax:
Practice Address - Street 1:15225 ROSECROFT RD
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20853-1864
Practice Address - Country:US
Practice Address - Phone:202-230-1550
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-19
Last Update Date:2025-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD177151041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical