Lisa A. Dimitri, LCSW

Primary specialty

School CounselorTaxonomy code 101YS0200X

License

074292-1 Issued in NY

Practice address

755 Main St Ste 3
Oakdale, NY 11769-1801

Phone

(631) 678-7170

Fax

(631) 224-8940

NPI assigned

Oct 31, 2011

Last updated

Jan 22, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Oct 6, 2025 through Oct 6, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• South Shore Counseling LCSW, PLLC

  • Clinical Social Worker
  • Oakdale, NY
  • NPI 1306551080
  NPD Authorized official
• Lisa Dimitri LCSW PLLC

  • Clinical Social Worker
  • Oakdale, NY
  • NPI 1396430328
  Authorized official Same address or phone

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

{
    "created_epoch": "1320019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1124304571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 BILTMORE AVE",
            "city": "OAKDALE",
            "state": "NY",
            "postal_code": "117691157",
            "telephone_number": "631-678-7170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 MAIN ST STE 3",
            "city": "OAKDALE",
            "state": "NY",
            "postal_code": "117691801",
            "telephone_number": "631-678-7170",
            "fax_number": "631-224-8940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMITRI",
        "first_name": "LISA",
        "middle_name": "A.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-31",
        "last_updated": "2024-01-22",
        "certification_date": "2023-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "R074292-1",
            "primary": false
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "NY",
            "license": "074292-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rita Elizabeth Debiase, LCSW
• Kathleen Ann Defilippo
• Dorianne Delgado
• Jennifer Marie Deshler, DPT
• Deborah Ann Dimarzo, LMT
• Arkadiusz N/a Dmochowski, OTA
• Catherine Dolan, NP
• Emily Virginia Dolan, LCSW
• Kristen Domingo
• Agnes Marie Drescher, LCSW

• School Counselor in Oakdale, NY
• Providers in Oakdale, NY by specialty
• School Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.