Provider Demographics
NPI:1275528622
Name:CIPRIANO, LOIS ANN (MS LCSW)
Entity Type:Individual
Prefix:MS
First Name:LOIS
Middle Name:ANN
Last Name:CIPRIANO
Suffix:
Gender:F
Credentials:MS LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:146 W 80TH ST
Mailing Address - Street 2:#4F
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024-6337
Mailing Address - Country:US
Mailing Address - Phone:212-877-3792
Mailing Address - Fax:
Practice Address - Street 1:146 W 80TH ST
Practice Address - Street 2:#4F
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-6337
Practice Address - Country:US
Practice Address - Phone:212-877-3792
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-13
Last Update Date:2016-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYPR02778811041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYN29531Medicare ID - Type UnspecifiedEMPIRE MEDICARE SERVICES