Basic Information
| Provider Information | |||||||||
| NPI: | 1033497862 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HEMPHILL | ||||||||
| FirstName: | LOVELL | ||||||||
| MiddleName: | |||||||||
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| Credential: | LCSW | ||||||||
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| Mailing Information | |||||||||
| Address1: | 12850 OLD STAGE RD | ||||||||
| Address2: | |||||||||
| City: | BISHOPVILLE | ||||||||
| State: | MD | ||||||||
| PostalCode: | 218131260 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4432351429 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1270 KINGS HWY | ||||||||
| Address2: | |||||||||
| City: | LEWES | ||||||||
| State: | DE | ||||||||
| PostalCode: | 199581735 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3026844950 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/27/2011 | ||||||||
| LastUpdateDate: | 07/21/2022 | ||||||||
| NPIDeactivationReasonCode: | |||||||||
| NPIDeactivationDate: | 03/13/2017 | ||||||||
| NPIReactivationDate: | 09/18/2017 | ||||||||
| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | Q1-0001095 | DE | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.