Individual provider · Type 1 NPI

Robin Lee Lisanti, LCSWR

Clinical Social Worker · Port Jefferson Station, NY

NPI number 1629143847 Active

Practice location

4577 Nesconset Hwy
Port Jefferson Station, NY 11776-2626

Fax (631) 473-2855

Mailing address

19 Grandview Blvd
Miller Place, NY 11764-1614

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XR049505-1 (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 1629143847

Robin Lee Lisanti, LCSWR's National Provider Identifier is 1629143847, issued on Nov 22, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Port Jefferson Station, NY. The record was last updated on Jul 8, 2007.