National Provider Identifier

Lissette Ocasio

Lissette Ocasio is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Penfield, NY and a listed phone number of (585) 330-8104.

NPI 1407535065Penfield, NYClinical Social Worker

Profile Overview

NPI
1407535065
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
July 12, 2023
Last Updated
July 12, 2023

Practice Location

  • 441 Penbrooke Dr
  • Penfield, NY 14526-2046

Phone: (585) 330-8104

Mailing Address

  • 320 List Ave
  • Rochester, NY 14617-3126

Specialties

  • Clinical Social Worker (1041C0700X)
Full Record
NPI
1407535065
Entity Type
Individual
Last Name
Ocasio
First Name
Lissette
Mailing Street Address
320 List Ave
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14617-3126
Mailing Country
US
Mailing Phone
(585) 330-8104
Practice Street Address
441 Penbrooke Dr
Practice City
Penfield
Practice State
NY
Practice ZIP Code
14526-2046
Practice Country
US
Practice Phone
(585) 330-8104
Enumeration Date
July 12, 2023
Last Updated
July 12, 2023
Sex
Female
Sole Proprietor
Yes
Certification Date
July 12, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X)