National Provider Identifier

Lisa A Crisco, LCSW

Lisa A Crisco, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Painted Post, NY and a listed phone number of (607) 738-5207.

NPI 1083161095Painted Post, NYClinical Social Worker

Profile Overview

NPI
1083161095
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
September 07, 2016
Last Updated
September 07, 2016

Practice Location

  • 4004 Meads Creek RD
  • Painted Post, NY 14870-9022

Phone: (607) 738-5207

Specialties

  • Clinical Social Worker (1041C0700X)
Full Record
NPI
1083161095
Entity Type
Individual
Last Name
Crisco
First Name
Lisa
Middle Name
A
Credential
LCSW
Mailing Street Address
4004 Meads Creek RD
Mailing City
Painted Post
Mailing State
NY
Mailing ZIP Code
14870-9022
Mailing Country
US
Mailing Phone
(607) 738-5207
Practice Street Address
4004 Meads Creek RD
Practice City
Painted Post
Practice State
NY
Practice ZIP Code
14870-9022
Practice Country
US
Practice Phone
(607) 738-5207
Enumeration Date
September 07, 2016
Last Updated
September 07, 2016
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X)