Provider Demographics
NPI:1740316090
Name:PINEDA, LISETTE (LCSW)
Entity type:Individual
Prefix:MISS
First Name:LISETTE
Middle Name:
Last Name:PINEDA
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 1:607 BRONX RIVER RD
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10704-1703
Mailing Address - Country:US
Mailing Address - Phone:914-363-0433
Mailing Address - Fax:
Practice Address - Street 1:110 LOCKWOOD AVE
Practice Address - Street 2:STE 403
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10801-5013
Practice Address - Country:US
Practice Address - Phone:914-713-7901
Practice Address - Fax:914-350-5070
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-23
Last Update Date:2021-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY078322-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical