Paula Ann Lieberman, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

PR031997-1 Issued in NY

Practice address

14 E Broadway
Port Jefferson, NY 11777-1400

Phone

(631) 473-7492

Fax

(631) 473-7492

NPI assigned

Nov 22, 2005

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144203340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "339 WOODLAND CT",
            "city": "CORAM",
            "state": "NY",
            "postal_code": "117273625",
            "telephone_number": "631-698-1413",
            "fax_number": "631-473-8492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 E BROADWAY",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117771400",
            "telephone_number": "631-473-7492",
            "fax_number": "631-473-7492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEBERMAN",
        "first_name": "PAULA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "PR031997-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "O1476508",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jason Lewis, MD
• McLean A Lewis, M.D.
• Tara Marie Lewis, N.P.
• Vanessa Alison Leyhane, MS CCC-SLP
• Kenenth R Lidonnici, M.D.
• Kathrine Liebling, LCSW
• Kenny Lien, MD
• Lighthouse Integrative Counseling Services LCSW Marriage and Family TH
• Dorothy Marie Lilly, RLCSW
• Erin Lim, DO

• Clinical Social Worker in Port Jefferson, NY
• Providers in Port Jefferson, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.