Lisa A Dimitri, LCSW | |
755 Main St Ste 3, Oakdale, NY 11769-1801 | |
(631) 678-7170 | |
(631) 224-8940 |
Full Name | Lisa A Dimitri |
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Gender | Female |
Speciality | Counselor - School |
Location | 755 Main St Ste 3, Oakdale, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124304571 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | R074292-1 (New York) | Secondary |
101YS0200X | Counselor - School | 074292-1 (New York) | Primary |
Entity Name | Lisa Dimitri Lcsw Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396430328 PECOS PAC ID: 8820456452 Enrollment ID: O20230614001083 |
Mailing Address | Practice Location Address |
---|---|
Lisa A Dimitri, LCSW 116 Biltmore Ave, Oakdale, NY 11769-1157 Ph: (631) 678-7170 | Lisa A Dimitri, LCSW 755 Main St Ste 3, Oakdale, NY 11769-1801 Ph: (631) 678-7170 |
Colleen Casella, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1227 Montauk Hwy Unit 2, Oakdale, NY 11769 Phone: 631-218-1545 | |
Lindsey Rose Brown, Counselor Medicare: Not Enrolled in Medicare Practice Location: 268 Waterford Rd, Oakdale, NY 11769 Phone: 631-617-1011 | |
Mr. Brandon Bjertnes, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 166 Lakeside Dr, Oakdale, NY 11769 Phone: 631-375-5352 | |
Matthew Calabrese, Counselor Medicare: Not Enrolled in Medicare Practice Location: 405 Locust Ave, Oakdale, NY 11769 Phone: 516-870-1600 | |
Nicole Antoinette Muniz, MHC-LP Counselor Medicare: Not Enrolled in Medicare Practice Location: 22 Meredith Ln, Oakdale, NY 11769 Phone: 631-786-6392 | |
Ms. Jennifer King Farnum, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 371 Locust Ave, Oakdale, NY 11769 Phone: 631-244-5950 Fax: 631-244-7360 |