Provider Demographics
NPI:1437221439
Name:BIRBIGLIA, LUCY A (LCSW LISW)
Entity Type:Individual
Prefix:MS
First Name:LUCY
Middle Name:A
Last Name:BIRBIGLIA
Suffix:
Gender:F
Credentials:LCSW LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1716 ALVARADO DR NE
Mailing Address - Street 2:APT. B
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87110-6562
Mailing Address - Country:US
Mailing Address - Phone:505-323-2190
Mailing Address - Fax:
Practice Address - Street 1:12836 LOMAS BLVD NE
Practice Address - Street 2:SUITE B
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87112-6210
Practice Address - Country:US
Practice Address - Phone:505-307-3718
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-14
Last Update Date:2010-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMI064351041C0700X
NY01140911041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical