Doctor Name: | LISA ANN BRANDI |
NPI Number: | 1568519759 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 071307 |
Business Practice Address: | 755 Waverly Ave Ste 204a Holtsville, NY - 117421190 |
Business Phone Number: | 6313329610 |
Business Fax Number: | |
Mailing Address: | 4 Chestnut Pl, MASTIC BEACH |
State: | NY |
Postal Code: | 119517202 |
Phone Number: | 6317728684 |
Fax Number: | |
NPI Enumeration Date: | 01/03/2007 |
NPI Last Update Date: | 06/28/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 071307 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |