Individual provider · Type 1 NPI

Lisa Sprague, LCSW

Clinical Social Worker · Bohemia, NY

NPI number 1114453305 Active

Practice location

793 Sycamore Ave
Bohemia, NY 11716-3514

Mailing address

PO Box 214
Great River, NY 11739-0214

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X88407 (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 1114453305

Lisa Sprague, LCSW's National Provider Identifier is 1114453305, issued on May 7, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bohemia, NY. The record was last updated on Jan 12, 2025.