Lisa Marie Guggino-Moses, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

070421-1 Issued in NY

Practice address

3974 Amboy Rd
Suite 306
Staten Island, NY 10308-2414

Phone

(917) 847-7695

NPI assigned

Jan 5, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922156223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 HIDDEN LAKE DR",
            "address_2": "APT. 19C",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089021166",
            "telephone_number": "917-847-7695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3974 AMBOY RD",
            "address_2": "SUITE 306",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103082414",
            "telephone_number": "917-847-7695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUGGINO-MOSES",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "070421-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eileen Guercio
• Paul A Guercio, PT, DPT, MSED.
• Karla Maria Guerra
• Arlin Guerrero, LMSW
• Dorothy Guerriero, TEACHER
• Gary Bartholomew Gugliada, DPM
• Kumud Gugliada, M.D.
• Alexandria Guida, F.N.P - BS
• Guided Therapy Mental Health Counseling PLLC
• Catherine Guidera, NP

• Clinical Social Worker in Staten Island, NY
• Providers in Staten Island, 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.