| Lisa Ann Vecchione Lcsw Pllc | |
|
368 Veterans Hwy Ste 8 Commack NY 11725-4322 | |
| (631) 708-4398 | |
| Not Available |
| Full Name | Lisa Ann Vecchione Lcsw Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 368 Veterans Hwy Ste 8, Commack, New York |
| Authorized Official Name and Position | Lisa Vecchione (SOLE MEMBER) |
| Authorized Official Contact | 6317084398 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Ann Vecchione Lcsw Pllc 368 Veterans Hwy Ste 8 Commack NY 11725-4322 Ph: () - | Lisa Ann Vecchione Lcsw Pllc 368 Veterans Hwy Ste 8 Commack NY 11725-4322 Ph: (631) 708-4398 |
| NPI Number | 1437896222 |
|---|---|
| Provider Enumeration Date | 05/13/2022 |
| Last Update Date | 05/13/2022 |
| Certification Date | 05/13/2022 |
| Medicare PECOS PAC ID | 0749662658 |
|---|---|
| Medicare Enrollment ID | O20220809000478 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437896222 | NPI | - | NPPES |
| 097310-1 | Other | NY | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Lisa Vecchione |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871027458 PECOS PAC ID: 6709285125 Enrollment ID: I20210604000163 |
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