Provider Demographics
NPI:1740550797
Name:LOMBARDO, LOUISA (LCSW)
Entity type:Individual
Prefix:
First Name:LOUISA
Middle Name:
Last Name:LOMBARDO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 SCHOOL RD.
Mailing Address - Street 2:
Mailing Address - City:GUILDERLAND CENTER
Mailing Address - State:NY
Mailing Address - Zip Code:12085-0018
Mailing Address - Country:US
Mailing Address - Phone:518-456-6200
Mailing Address - Fax:518-456-1152
Practice Address - Street 1:8 SCHOOL RD.
Practice Address - Street 2:
Practice Address - City:GUILDERLAND CENTER
Practice Address - State:NY
Practice Address - Zip Code:12085-0018
Practice Address - Country:US
Practice Address - Phone:518-456-6200
Practice Address - Fax:518-456-1152
Is Sole Proprietor?:No
Enumeration Date:2012-01-09
Last Update Date:2012-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0285241041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool