Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LISA VICTORIA LARSON, LCSW
Active Sole ProprietorLISA VICTORIA LARSON, LCSW is a Clinical Social Worker healthcare provider located in KINGS PARK, New York. NPI 1396117776 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · KINGS PARK, NY
Registration Details
- NPI Number
- 1396117776
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 26, 2015 (10.780270377982 yrs)
- Last Updated
- Oct 26, 2015
- License
-
083324-1 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
425 KOHR RDKINGS PARK, NY, 117541216Browse NY providers · Browse ZIP 11754
- Phone
- 5163592777
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in KINGS PARK, NY
| Name | Credential | NPI |
|---|---|---|
| MARK VERNON APPLEWHITE | NY STATE LCSW-R | 1356331110 |
| NANETTE NICOTRA GINGO | LCSW | 1134176258 |
| MS. CARA MAYRICK | LCSW | 1962558155 |
| MAURA GRILLO | LCSW | 1982815429 |
| JENNIE SUCILSKY | LCSW | 1205088473 |
| SANDRA RUGGIERO | LCSW | 1205079944 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.