Organization Active NPI

Lisa D'Acierno, LCSW, LLC

  • Clinical Social Worker
  • Teaneck, NJ
National Provider Identifier
1023323193
Registry record updated Aug 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
NJ 44SC05322900 Issued in NJ
Legal business name
LISA D'ACIERNO, LCSW, LLC
Practice address
901 Teaneck Rd
1St Floor
Teaneck, NJ 07666-4511
Phone
(201) 357-1715
Fax
(201) 833-8858
NPI assigned
Aug 13, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2010

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

Authorized official

Name
Ms. Lisa D'Acierno, LCSWNPI 1891983177
Title
Psychotherapist
Phone
(201) 357-2715

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X NJ 44SC05322900 NJ Primary

Addresses

Primary practice location

901 Teaneck Rd
1St Floor
Teaneck, NJ 07666-4511

Mailing address

901 Teaneck Rd
1St Floor
Teaneck, NJ 07666-4511
Phone (201) 357-1715

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100825000460 NJ Part B Supplier - Clinic/Group Practice 6608990833 Receives reassigned benefits from 1 practitioner
Practice locations: Teaneck, NJ

National Provider Directory

National Provider Directory

Locations

1182 Teaneck Rd
Ste 206
Teaneck, NJ 07666
Phone (201) 357-2715

901 Teaneck Rd
Fl 1A
Teaneck, NJ 07666
Phone (201) 357-2715

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1281657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281657600000",
    "number": "1023323193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 TEANECK RD",
            "address_2": "1ST FLOOR",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664511",
            "telephone_number": "201-357-1715",
            "fax_number": "201-833-8858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 TEANECK RD",
            "address_2": "1ST FLOOR",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664511",
            "telephone_number": "201-357-1715",
            "fax_number": "201-833-8858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA D'ACIERNO, LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-13",
        "last_updated": "2010-08-13",
        "status": "A",
        "authorized_official_last_name": "D'ACIERNO",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "201-357-2715",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "NJ 44SC05322900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Teaneck, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.