Provider Demographics
NPI:1598133647
Name:LISA A. CURTIS, CSW, CASAC, PC
Entity Type:Organization
Organization Name:LISA A. CURTIS, CSW, CASAC, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:A
Authorized Official - Last Name:CURTIS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:914-684-2730
Mailing Address - Street 1:445 HAMILTON AVE
Mailing Address - Street 2:SUITE 1102
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10601-1807
Mailing Address - Country:US
Mailing Address - Phone:914-684-2730
Mailing Address - Fax:973-433-7850
Practice Address - Street 1:445 HAMILTON AVE
Practice Address - Street 2:SUITE 1102
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10601-1807
Practice Address - Country:US
Practice Address - Phone:914-684-2730
Practice Address - Fax:973-433-7850
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-07
Last Update Date:2015-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0428051041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty