Provider Demographics
NPI:1346882503
Name:LAMPIONE, KONSTANTINA (LMSW)
Entity Type:Individual
Prefix:
First Name:KONSTANTINA
Middle Name:
Last Name:LAMPIONE
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 N AVALON RD
Mailing Address - Street 2:
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11021-3906
Mailing Address - Country:US
Mailing Address - Phone:516-654-5296
Mailing Address - Fax:
Practice Address - Street 1:400 JERICHO TPKE STE 104
Practice Address - Street 2:
Practice Address - City:JERICHO
Practice Address - State:NY
Practice Address - Zip Code:11753-1320
Practice Address - Country:US
Practice Address - Phone:516-654-5296
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-09
Last Update Date:2023-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0961901041C0700X
NY107520-01104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical