Ms Michelle De Lisio, LICSW, LADC is a
Social Worker - Clinical based in Greenfield, Massachusetts. Ms Michelle De Lisio is licensed to practice in Massachusetts (license number 1019513) and her current practice location is
25 Garfield St, Greenfield, Massachusetts. She can be reached at her office (for appointments etc.) via phone at
(413) 772-8826.
NPI number for Ms Michelle De Lisio is 1932194917 and her current mailing address is 25 Garfield St, Greenfield, Massachusetts. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1932194917.
Healthcare Provider's Profile
| Full Name | Ms Michelle De Lisio |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 25 Garfield St, Greenfield, Massachusetts |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1932194917
- Provider Enumeration Date: 09/15/2005
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Ms Michelle De Lisio such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1932194917 | NPI | - | NPPES |
| P07257 | Other | MA | BLUE CROSS/BLUE SHIELD |
| 156061 | Other | MA | MANAGED HEALTH NETWORK |
| 101951 | Other | MA | TUFTS HEALTH PLAN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 314 (Massachusetts) | Primary |
| 1041C0700X | Social Worker - Clinical | 1019513 (Massachusetts) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Michelle De Lisio is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Michelle De Lisio, LICSW, LADC
25 Garfield St,
Greenfield, MA 01301-2512
Ph: (413) 772-8826 | Ms Michelle De Lisio, LICSW, LADC
25 Garfield St,
Greenfield, MA 01301-2512
Ph: (413) 772-8826 |
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