De Lisio, Michelle

De Lisio, Michelle is an individual health care provider with primary practice located at 25 Garfield St , Greenfield MA 01301-2512. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. De Lisio, Michelle can be contacted via phone (413) 772-8826.

Contact Information

Primary practice address
25 Garfield St Greenfield MA 01301-2512
Phone: (413) 772-8826
Fax: (413) 774-5946
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 314 Massachusetts
Behavioral Health & Social Service Providers / Clinical 1041C0700X 1019513 Massachusetts

Profile Details

NPI number 1932194917
LBN Legal business name De Lisio, Michelle
Credentials L.I.C.S.W., L.A.D.C.
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2005
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932194917 NPPES
Massachusetts Other P07257 BLUE CROSS/BLUE SHIELD
Massachusetts Other 156061 BLUE CROSS/BLUE SHIELD
Massachusetts Other 101951 BLUE CROSS/BLUE SHIELD

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