Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. MARISA BOULUKOS, LCSWR
Active Sole ProprietorClinical Social Worker · MASSAPEQUA, NY
Registration Details
- NPI Number
- 1437203320
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 22, 2007 (19.254955948305 yrs)
- Last Updated
- Jul 8, 2007
- License
-
R042317-1 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
75 GRAND AVEMASSAPEQUA, NY, 117584905Browse NY providers · Browse ZIP 11758
- Phone
- 5167993202
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in MASSAPEQUA, NY
| Name | Credential | NPI |
|---|---|---|
| PENNY E SIEGMANN-BEINER | LCSW-R | 1730175738 |
| THOMAS JOSEPH MCCOY | LCSW | 1063488377 |
| ROSEANNE UNRUH | LCSW | 1871519058 |
| MS. VIVIAN C OCONNOR | LCSW | 1265449938 |
| MS. CHRISTINE MARIE REARDON | LCSW-R | 1235244682 |
| MR. ARTHUR CASTELLANO | MSW | 1528173101 |
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.