Provider Demographics
NPI:1467851584
Name:LISA BROWN-EISEL, LCSW, P.C.
Entity Type:Organization
Organization Name:LISA BROWN-EISEL, LCSW, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN-EISEL
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:516-984-1610
Mailing Address - Street 1:100 NORTH VILLAGE AVENUE, SUITE 32
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE CENTRE
Mailing Address - State:NY
Mailing Address - Zip Code:11570
Mailing Address - Country:US
Mailing Address - Phone:516-984-1610
Mailing Address - Fax:516-764-1717
Practice Address - Street 1:100 NORTH VILLAGE AVENUE, SUITE 32
Practice Address - Street 2:
Practice Address - City:ROCKVILLE CENTRE
Practice Address - State:NY
Practice Address - Zip Code:11570
Practice Address - Country:US
Practice Address - Phone:516-984-1610
Practice Address - Fax:516-764-1717
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-14
Last Update Date:2014-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR051377-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty