Provider Demographics
NPI:1609571207
Name:JO-ANN PAROLISI, LCSW PLLC
Entity Type:Organization
Organization Name:JO-ANN PAROLISI, LCSW PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JO-ANN
Authorized Official - Middle Name:
Authorized Official - Last Name:PAROLISI
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:516-652-6485
Mailing Address - Street 1:14 MASSAPEQUA AVE
Mailing Address - Street 2:
Mailing Address - City:MASSAPEQUA PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11762-3312
Mailing Address - Country:US
Mailing Address - Phone:516-652-6485
Mailing Address - Fax:
Practice Address - Street 1:14 MASSAPEQUA AVE
Practice Address - Street 2:
Practice Address - City:MASSAPEQUA PARK
Practice Address - State:NY
Practice Address - Zip Code:11762-3312
Practice Address - Country:US
Practice Address - Phone:516-652-6485
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-03
Last Update Date:2023-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty