Individual provider · Type 1 NPI

Lisandra Annette Indomenico, MSW

Clinical Social Worker · Kissimmee, FL

NPI number 1700154671 Active

Practice location

111 E Monument Ave Unit 509
Kissimmee, FL 34741-5779

Call (407) 460-7850 Map

Mailing address

111 E Monument Ave
Kissimmee, FL 34741-5762

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X10680 (PR)

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 1700154671

Lisandra Annette Indomenico, MSW's National Provider Identifier is 1700154671, issued on Dec 7, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Kissimmee, FL. The record was last updated on Oct 6, 2012.