Lisa Dagnello, B.S.

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

105 Merrick St
Worcester, MA 01609-1937

Phone

(508) 797-6100

Fax

(508) 797-0693

NPI assigned

Sep 5, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

Practice roles

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.

• LD Psych Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Worcester, MA
  • NPI 1033826821
  NPD Authorized official
• Spectrum Health Systems Inc

  • Multi-Specialty Clinic/Center
  • Worcester, MA
  • NPI 1376827188
  NPD (past)
• Spectrum Health Systems, Inc

  • Addiction (Substance Use Disorder) Counselor
  • Worcester, MA
  • NPI 1487608485
  NPD (past)

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

{
    "created_epoch": "1536105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536105600000",
    "number": "1063994010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 MECHANIC ST STE 302",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016082419",
            "telephone_number": "508-792-5400",
            "fax_number": "508-831-0074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 MERRICK ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016091937",
            "telephone_number": "508-797-6100",
            "fax_number": "508-797-0693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAGNELLO",
        "first_name": "LISA",
        "credential": "B.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-05",
        "last_updated": "2018-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marie Yves Dabresil, RN
• Peter Joshua Dacosta, MD
• Soheil S Dadras, MD
• Sarkis Daniel Dagley
• Delia Dagli, PA
• Rebecca Lynn Dagostino, LICSW
• Mihaela Eugenia Cernenco Dahl
• Seth T Dahlberg, M.D.
• Kellie Dahlstrom, LICSW
• Ruth I Dahlstrom, C.R.N.A.

• Counselor in Worcester, MA
• Providers in Worcester, MA by specialty
• Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2018; 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.