Individual provider · Type 1 NPI

Lily Ann Mendoza Divino, LCSW, MPH

Clinical Social Worker · Flushing, NY

NPI number 1447355128 Active

Practice location

13626 37th Ave
Flushing, NY 11354-6533

Fax (718) 886-3903

Mailing address

125 Walker St Fl 2
New York, NY 10013-4135

Other practice locations

  • 268 Canal St, New York, NY 10013-3599 · (212) 941-2213
  • 125 Walker St Fl 2, New York, NY 10013-4135 · (718) 587-1111
  • 13743 45th Ave, Flushing, NY 11355-4048 · (929) 362-3006
  • 131-72 40th Road, Flushing, NY 11354 · (718) 886-7373

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X076846 (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 1447355128

Lily Ann Mendoza Divino, LCSW, MPH's National Provider Identifier is 1447355128, issued on Sep 14, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Flushing, NY. The record was last updated on Sep 28, 2026.