Lisa Marie Ciccone, LMSW is a
Counselor - School based in Port Ewen, New York. Lisa Marie Ciccone is licensed to practice in New York (license number 095647) and her current practice location is
319 Broadway, Port Ewen, New York. She can be reached at her office (for appointments etc.) via phone at
(845) 339-8707.
NPI number for Lisa Marie Ciccone is 1548784762 and her current mailing address is Po Box 193, Esopus, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1548784762.
Healthcare Provider's Profile
| Full Name | Lisa Marie Ciccone |
|---|
| Gender | Female |
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| Speciality | Counselor - School |
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| Location | 319 Broadway, Port Ewen, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1548784762
- Provider Enumeration Date: 07/30/2017
- Last Update Date: 07/30/2017
Medical Identifiers
Medical identifiers for Lisa Marie Ciccone such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1548784762 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YS0200X | Counselor - School | 095647 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lisa Marie Ciccone is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Lisa Marie Ciccone, LMSW
Po Box 193,
Esopus, NY 12429-0193
Ph: (184) 559-43162 | Lisa Marie Ciccone, LMSW
319 Broadway,
Port Ewen, NY 12466-5501
Ph: (845) 339-8707 |
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