Individual provider · Type 1 NPI

Lourdes G. Lacolla, LCSW

Clinical Social Worker · Bellmore, NY

NPI number 1104867977 Active

Practice location

220 Pettit Ave
Bellmore, NY 11710-3629

Mailing address

2911 Lindale St
Wantagh, NY 11793-2310

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XR051905 (NY)

Clinical Social Worker: 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, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1104867977

Lourdes G. Lacolla, LCSW's National Provider Identifier is 1104867977, issued on Jun 10, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bellmore, NY. The record was last updated on Jul 13, 2026.