Individual provider · Type 1 NPI

Lisa J. Caravousanos, LCSWR

Clinical Social Worker · Shirley, NY

NPI number 1720299167 Active

Practice location

550 Montauk Hwy
Shirley, NY 11967-2114

Fax (631) 490-3055

Mailing address

PO Box 5036
White Plains, NY 10602-5036

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X072684 (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 1720299167

Lisa J. Caravousanos, LCSWR's National Provider Identifier is 1720299167, issued on May 25, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Shirley, NY. The record was last updated on Jun 14, 2024.