Lisa Degennaro, L.M.S.W.

Primary specialty

Social WorkerTaxonomy code 104100000X

License

053521-1 Issued in NY

Practice address

24537 60TH Ave
Little Neck, NY 11362-2014

Phone

(718) 728-8476

NPI assigned

Sep 21, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Quality Services for the Autism Community

  • Early Intervention Provider Agency
  • Douglaston, NY
  • NPI 1356686042
  NPD (past)

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

{
    "created_epoch": "1316563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464220800000",
    "number": "1407139090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24537 60TH AVE",
            "city": "LITTLE NECK",
            "state": "NY",
            "postal_code": "113622014",
            "telephone_number": "718-728-8476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24537 60TH AVE",
            "city": "LITTLE NECK",
            "state": "NY",
            "postal_code": "113622014",
            "telephone_number": "718-728-8476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGENNARO",
        "first_name": "LISA",
        "credential": "L.M.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-21",
        "last_updated": "2016-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "053521-1",
            "primary": true
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NY",
            "license": "156061",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "156061",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danoff Dental & Associates, LLP (Snoring And Sleep Apnea Center of Queens and Nassau)
• K Scott Danoff, DMD, D.ABDSM, D.ASBA
• Evenia Daskarolis
• Daniel Philip Davids, DPT, CSCS
• Dmitry Davydov, DC
• Alicia Dellagiovanna, LCSW
• Charles Deng, LAC.
• Kean A Dey Foy
• Jillian L Diaz Panzella, CHHC
• Kathy Nathalie Diaz-Hines, LCSW

• Social Worker in Little Neck, NY
• Providers in Little Neck, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2016; 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.