Individual provider · Type 1 NPI

Lisa Marie Vullo, LCSW

Clinical Social Worker · Port Charlotte, FL

NPI number 1154838910 Active

Practice location

3432 Depew Ave
Port Charlotte, FL 33952-7015

Call (848) 422-9245 Map

Fax (848) 422-9245

Mailing address

26314 Asuncion Dr
Punta Gorda, FL 33983-5357

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XSW6123 (FL)

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 1154838910

Lisa Marie Vullo, LCSW's National Provider Identifier is 1154838910, issued on Jan 2, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Port Charlotte, FL. The record was last updated on Jan 2, 2018.