Luciano, Lisa G

Luciano, Lisa G is an individual health care provider with primary practice located at 402 S Main St , Groton NY 13073-1342. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Luciano, Lisa G can be contacted via phone (607) 379-2701.

Contact Information

Primary practice address
402 S Main St Groton NY 13073-1342
Phone: (607) 379-2701
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 079962 New York
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 27344 New York
Behavioral Health & Social Service Providers / School 1041S0200X 2167584 New York

Profile Details

NPI number 1306075817
LBN Legal business name Luciano, Lisa G
Credentials LCSW, ACSW, CASAC-T
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2009
Last updated Sep 24th, 2014 - about 10 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 1306075817 NPPES
New York MEDICAID 00079962

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