Individual provider Active NPI

Lisa A Caruso, CSW-R

  • Clinical Social Worker
  • Liverpool, NY
National Provider Identifier
1518151646
Registry record updated May 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R0545821 Issued in NY
Practice address
105 Woodside LN
Liverpool, NY 13090-2525
Phone
(315) 622-4198
NPI assigned
Aug 31, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X R0545821 NY Primary

Addresses

Primary practice location

105 Woodside LN
Liverpool, NY 13090-2525

Mailing address

300 Tulip St
Room 20
Liverpool, NY 13088-4965
Phone (315) 447-1235

Other names 1

  • Mrs. Lisa Murray Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
R0545821NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Delconte Counseling LCSW PC PastSince Jan 28, 2024 Accepting new patients
Bright Path Center, Inc. Clinical PastSince Aug 1, 2005 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1188518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211155200000",
    "number": "1518151646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 TULIP ST",
            "address_2": "ROOM 20",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130884965",
            "telephone_number": "315-447-1235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 WOODSIDE LN",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130902525",
            "telephone_number": "315-622-4198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARUSO",
        "first_name": "LISA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "CSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-31",
        "last_updated": "2008-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R0545821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "MURRAY",
            "prefix": "MRS.",
            "credential": "CSW-R",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Liverpool, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; 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.