Organization Name: | LISA D'ACIERNO, LCSW, LLC |
NPI Number: | 1023323193 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LISA D'ACIERNO (PSYCHOTHERAPIST) |
Mailing Address: | 901 Teaneck Rd 1st Floor Teaneck |
State: | NJ US |
Postal Code: | 076664511 |
Phone Number: | 2013571715 |
Fax Number: | 2018338858 |
NPI Enumeration Date: | 08/13/2010 |
NPI Last Update Date: | 08/13/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | NJ 44SC05322900 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |