| Lisa D'acierno, Lcsw, Llc | |
|
901 Teaneck Rd 1st Floor Teaneck NJ 07666-4511 | |
| (201) 357-1715 | |
| (201) 833-8858 |
| Full Name | Lisa D'acierno, Lcsw, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 901 Teaneck Rd, Teaneck, New Jersey |
| Authorized Official Name and Position | Lisa D'acierno (PSYCHOTHERAPIST) |
| Authorized Official Contact | 2013572715 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa D'acierno, Lcsw, Llc 901 Teaneck Rd 1st Floor Teaneck NJ 07666-4511 Ph: (201) 357-1715 | Lisa D'acierno, Lcsw, Llc 901 Teaneck Rd 1st Floor Teaneck NJ 07666-4511 Ph: (201) 357-1715 |
| NPI Number | 1023323193 |
|---|---|
| Provider Enumeration Date | 08/13/2010 |
| Last Update Date | 08/13/2010 |
| Medicare PECOS PAC ID | 6608990833 |
|---|---|
| Medicare Enrollment ID | O20100825000460 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023323193 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | NJ 44SC05322900 (New Jersey) | Primary |
| Provider Name | Lisa B Dacierno |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891983177 PECOS PAC ID: 4688798820 Enrollment ID: I20100825000510 |
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