Provider Demographics
NPI:1942914015
Name:CIFALDI, LISETTE (LISW-CP)
Entity Type:Individual
Prefix:
First Name:LISETTE
Middle Name:
Last Name:CIFALDI
Suffix:
Gender:F
Credentials:LISW-CP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13 PLANTERS WOOD CT
Mailing Address - Street 2:
Mailing Address - City:HILTON HEAD ISLAND
Mailing Address - State:SC
Mailing Address - Zip Code:29928-4403
Mailing Address - Country:US
Mailing Address - Phone:803-463-1010
Mailing Address - Fax:
Practice Address - Street 1:23C SHELTER COVE LN
Practice Address - Street 2:
Practice Address - City:HILTON HEAD ISLAND
Practice Address - State:SC
Practice Address - Zip Code:29928-3605
Practice Address - Country:US
Practice Address - Phone:803-463-1010
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-12
Last Update Date:2023-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC154461041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical