Deirdre T Lupoli, LCSW-R
Individual provider Active NPI Clinical Social Worker · Leeds, NY
NPI 1053371864 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1053371864
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- R035226-1 (NY)
- Practice address
- 973 Route 67
Leeds, NY 12451-1227 - Phone
- (518) 634-2050
- NPI assigned
- Mar 24, 2006
- 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)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R035226-1 | NY | MD | Clinical Social Worker |
| 035226 | NY | MD | Physician Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | R035226-1 | NY | Yes |
Addresses
Primary practice location
973 Route 67
Leeds, NY 12451-1227
Mailing address
973 Route 67
PO Box 689
Leeds, NY 12451-1227
Phone (518) 634-2050
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02261847 | Medicaid | NY |
Other providers in Leeds, NY
- Lacey Angle Collins
- Michael Gayle
- Kaitlyn Rezny, LCSW, PLLC
- Skyler Rose Kelly
- Jadee Lynn Kohler
- Kaitlyn Rezny
- Donna Trunzo
- Michelle Lynn Vitoulis
- Susan Kim Wagar
- Mari L Warfel
All providers in Leeds, 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 Jul 13, 2026. 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.