Active NPI
Lisa J Cornelio, LMSW
- Social Worker
- New York, NY
National Provider Identifier
1558077925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 112680
- Practice address
- 117 W 72ND St FL 3
New York, NY 10023-3204 - Phone
- (212) 777-7779
- NPI assigned
- Jan 27, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 112680 | NY | Primary |
Addresses
Primary practice location
117 W 72ND St FL 3
New York, NY 10023-3204
Mailing address
110 Christopher St Apt 40
New York, NY 10014-4219
Phone (178) 483-2319
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
| License | State | Type | Specialty |
|---|---|---|---|
| 112680 | NY | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707782400000",
"number": "1558077925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 CHRISTOPHER ST APT 40",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100144219",
"telephone_number": "178-483-2319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 W 72ND ST FL 3",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100233204",
"telephone_number": "212-777-7779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORNELIO",
"first_name": "LISA",
"middle_name": "J",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-27",
"last_updated": "2024-02-13",
"certification_date": "2024-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "112680",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
- Fanny Corne, NP
- Blas Miguel Cornejo Esparza, MD
- Liliana Cornejo, STUDENT
- Betchie Claire Cornelio, LMHC
- Karina Esther Cornelio, MSW, CASAC-T
- Francois H Cornelis, MD, PHD
- Cheryl Brandt Cornelius, PHD IN PSYCHOLOGY
- Cornell & Associates Marriage and Family Therapy
- Cornell Univ Med College
- Cornell University Medical College
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.