| Lisa C. Deluca, Lcsw, Pllc | |
|
54895 Main Road Southold NY 11971-4895 | |
| (631) 903-4177 | |
| Not Available |
| Full Name | Lisa C. Deluca, Lcsw, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 54895 Main Road, Southold, New York |
| Authorized Official Name and Position | Lisa C. Deluca (OWNER) |
| Authorized Official Contact | 6314776077 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa C. Deluca, Lcsw, Pllc 175 The Crossways East Marion NY 11939-1007 Ph: (631) 477-6077 | Lisa C. Deluca, Lcsw, Pllc 54895 Main Road Southold NY 11971-4895 Ph: (631) 903-4177 |
| NPI Number | 1689108037 |
|---|---|
| Provider Enumeration Date | 04/12/2017 |
| Last Update Date | 04/12/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689108037 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0824701 (New York) | Primary |
Desiree I Reese Lcsw Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1560 Youngs Ave, Southold, NY 11971 Phone: 631-276-2050 |