Individual provider Active NPI

Lisa M Laudante, PH.D., LCSW

  • Clinical Social Worker
  • Garden City, NY
National Provider Identifier
1578685830
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R028463 Issued in NY
Practice address
500 Old Country Rd
Suite 301
Garden City, NY 11530-1901
Phone
(516) 770-6143
NPI assigned
Apr 5, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 R028463 NY Primary

Addresses

Primary practice location

500 Old Country Rd
Suite 301
Garden City, NY 11530-1901

Mailing address

500 Old Country Rd
Suite 301
Garden City, NY 11530-1901
Phone (516) 770-6143

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Previously, effective Oct 12, 2022 through Oct 12, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
R028463NYMDClinical Social Worker
028463NYMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1175731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578685830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 OLD COUNTRY RD",
            "address_2": "SUITE 301",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115301901",
            "telephone_number": "516-770-6143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 OLD COUNTRY RD",
            "address_2": "SUITE 301",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115301901",
            "telephone_number": "516-770-6143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUDANTE",
        "first_name": "LISA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PH.D., LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R028463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, NY

Sources for this page

Verify at the official NPI Registry.