Provider Demographics
NPI:1245883917
Name:LUCERO BEAUZIL, DENYSE (LMSW)
Entity type:Individual
Prefix:
First Name:DENYSE
Middle Name:
Last Name:LUCERO BEAUZIL
Suffix:
Gender:
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 SOMERSET AVE
Mailing Address - Street 2:
Mailing Address - City:HICKSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11801-5141
Mailing Address - Country:US
Mailing Address - Phone:646-284-3550
Mailing Address - Fax:
Practice Address - Street 1:377 OAK ST
Practice Address - Street 2:
Practice Address - City:GARDEN CITY
Practice Address - State:NY
Practice Address - Zip Code:11530-6553
Practice Address - Country:US
Practice Address - Phone:516-746-0350
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-22
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY081531-1104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker