Lisa Defeis in Bay Shore - Clinical

Lisa Defeis - NPI 1396772562

Lisa Defeis is a Clinical in Bay Shore, New York. Lisa Defeis practices all healthcare services and medical treatments related to Clinical. The NPI Number for Lisa Defeis is 1396772562. The last update date is 2007-07-08.

Lisa Defeis's current location address is 1555 Sunrise Hwy, Bay Shore, New York. You can contact this provider via phone number 6316661615 and fax number 6316661709. The mailing address for Lisa Defeis is 1555 Sunrise Hwy, Bay Shore, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Lisa Defeis
Address 1555 Sunrise Hwy, Bay Shore, New York
Phone Number 6316661615
Fax Number 6316661709
Sole Proprietor N
Credentials LCSW

NPI Number Detail

NPI Number 1396772562
Provider Enumeration Date 2006-06-26
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1555 Sunrise Hwy
City Bay Shore
State New York (NY)
Post Code 117066027
Phone Number 6316661615
Fax Number 6316661709

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No R051808-1
Definition:
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif

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FAQs about Lisa Defeis

What is the Lisa Defeis's unique identification number?

The Lisa Defeis has been assigned the NPI (National Provider Identifier) Number 1396772562 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you share the physical location details of Lisa Defeis?

The Lisa Defeis is situated at 1555 Sunrise Hwy, in the city of Bay Shore, state of NY, with the zip code 117066027.

What is Lisa Defeis's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Lisa Defeis's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.

On what date did the Centers for Medicare & Medicaid Services issue the 1396772562 to Lisa Defeis?

The Lisa Defeis received its 1396772562 assignment from the Centers for Medicare & Medicaid Services on 2006-06-26.

As of what date were the details pertaining to Lisa Defeis last refreshed?

The information related to the Lisa Defeis, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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