Provider Demographics
NPI:1457952129
Name:PASCUZZI, ELIZABETH E (LCSW CASAC MAP SAP)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:E
Last Name:PASCUZZI
Suffix:
Gender:F
Credentials:LCSW CASAC MAP SAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 COPIAGUE PL
Mailing Address - Street 2:
Mailing Address - City:COPIAGUE
Mailing Address - State:NY
Mailing Address - Zip Code:11726-3301
Mailing Address - Country:US
Mailing Address - Phone:516-297-7943
Mailing Address - Fax:
Practice Address - Street 1:17 COPIAGUE PL
Practice Address - Street 2:
Practice Address - City:COPIAGUE
Practice Address - State:NY
Practice Address - Zip Code:11726-3301
Practice Address - Country:US
Practice Address - Phone:516-297-7943
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-08
Last Update Date:2020-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0902361041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical