Individual provider · Type 1 NPI
Lisa Molluso
Clinical Social Worker · Bellport, NY
Practice location
16 Station Rd, Suite 7
Bellport, NY 11713-2449
Fax (631) 758-2858
Mailing address
PO Box 131
Patchogue, NY 11772-0131
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | R072825 (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…
Another provider at this address
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About NPI 1669543732
Lisa Molluso's National Provider Identifier is 1669543732, issued on Nov 12, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bellport, NY. The record was last updated on Jul 13, 2012.