National Provider Identifier
Tina Marie Lass, LMSW
Tina Marie Lass, LMSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Penn Yan, NY and a listed phone number of (315) 521-2977.
Profile Overview
- NPI
- 1073639910
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- March 22, 2007
- Last Updated
- December 04, 2020
Practice Location
- 222 Lawrence St
- Penn Yan, NY 14527-1410
Phone: (315) 521-2977
Mailing Address
- 222 Lawrence St
- Penn Yan, NY 14527
Specialties
- Clinical Social Worker (1041C0700X)
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1073639910
- Entity Type
- Individual
- Last Name
- Lass
- First Name
- Tina
- Middle Name
- Marie
- Name Prefix
- MS.
- Credential
- LMSW
- Mailing Street Address
- 222 Lawrence St
- Mailing City
- Penn Yan
- Mailing State
- NY
- Mailing ZIP Code
- 14527
- Mailing Country
- US
- Mailing Phone
- (315) 521-2977
- Practice Street Address
- 222 Lawrence St
- Practice City
- Penn Yan
- Practice State
- NY
- Practice ZIP Code
- 14527-1410
- Practice Country
- US
- Practice Phone
- (315) 521-2977
- Enumeration Date
- March 22, 2007
- Last Updated
- December 04, 2020
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- December 04, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X), Clinical Social Worker (1041C0700X)