Individual provider Active NPI

Carla Lisio, MSW

  • Clinical Social Worker
  • Elmsford, NY
National Provider Identifier
1023053253
Registry record updated Apr 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R055852-1 Issued in NY
Practice address
2269 Saw Mill River Rd
Building 1a
Elmsford, NY 10523-3832
Phone
(914) 345-5900
Fax
(914) 347-8859
NPI assigned
Jun 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X R055852-1 NY Primary

Addresses

Primary practice location

2269 Saw Mill River Rd
Building 1a
Elmsford, NY 10523-3832

Mailing address

40 Ronny Cir
Hastings on Hudson, NY 10706-4023
Phone (914) 478-4472

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
R055852-1NYMDClinical Social Worker
055852NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
The Mental Health Association of Westchester County - Social Care Network Past Accepting new patients
The Mental Health Association of Westchester County, Inc. Clinical PastSince Apr 21, 2008 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240358400000",
    "number": "1023053253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 RONNY CIR",
            "city": "HASTINGS ON HUDSON",
            "state": "NY",
            "postal_code": "107064023",
            "telephone_number": "914-478-4472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2269 SAW MILL RIVER RD",
            "address_2": "BUILDING 1A",
            "city": "ELMSFORD",
            "state": "NY",
            "postal_code": "105233832",
            "telephone_number": "914-345-5900",
            "fax_number": "914-347-8859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISIO",
        "first_name": "CARLA",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-19",
        "last_updated": "2009-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R055852-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmsford, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.