Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANDREA DOHERTY LISSUZZO, LCSW
Active Sole ProprietorClinical Social Worker · RIVER FOREST, IL
Registration Details
- NPI Number
- 1699375592
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 29, 2020 (5.5451210803923 yrs)
- Last Updated
- Oct 18, 2021
- License
-
149.007467 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
526 KEYSTONE AVERIVER FOREST, IL, 603051612Browse IL providers · Browse ZIP 60305
- Phone
- 7087102650
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in RIVER FOREST, IL
| Name | Credential | NPI |
|---|---|---|
| CAROL ANN JABS | PHD | 1154485290 |
| MRS. ANN SHANNON OCONNELL | LCSW | 1245426220 |
| SL ADLER | — | 1710161989 |
| MS. BHARATHI JAYARAM | LCSW | 1417285958 |
| KRISTIN BURNS | LCSW | 1316369630 |
| EVA REYNOSO | LCSW | 1982098000 |
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.