Lisa Brander
Individual provider Active NPI Clinical Social Worker · Oakdale, NY
NPI 1003585837 · NPPES record last updated Dec 30, 2021
Key facts
- NPI
- 1003585837
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Practice address
- 405 Locust Ave
Oakdale, NY 11769-1695 - Phone
- (631) 868-1244
- Fax
- (631) 567-1648
- NPI assigned
- Sep 7, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | NY | Yes |
Addresses
Primary practice location
405 Locust Ave
Oakdale, NY 11769-1695
Mailing address
405 Locust Ave
Oakdale, NY 11768
Phone (631) 868-1244
Other providers in Oakdale, NY
- Brandon Bjertnes
- Patricia Blanco
- Amanda R Bloom
- Laurie Ann Bonomo
- Roslyn M Bowen
- Lindsey Rose Brown
- Thomas Matthew Burger
- Kristina Alexandria Cabales
- Diane Caggiano
- Matthew Calabrese
All providers in Oakdale, NY · Clinical Social Worker in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 30, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.