Provider Demographics
NPI:1790572196
Name:NICHOLAS J. LOMBARDI LMSW, PC
Entity type:Organization
Organization Name:NICHOLAS J. LOMBARDI LMSW, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED CLINICAL SOCIAL WORKER
Authorized Official - Prefix:MR
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:LOMBARDI
Authorized Official - Suffix:
Authorized Official - Credentials:LCSWR
Authorized Official - Phone:631-946-3033
Mailing Address - Street 1:2 CHIP CT
Mailing Address - Street 2:
Mailing Address - City:MANORVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11949-3261
Mailing Address - Country:US
Mailing Address - Phone:631-946-3033
Mailing Address - Fax:
Practice Address - Street 1:2 CHIP CT
Practice Address - Street 2:
Practice Address - City:MANORVILLE
Practice Address - State:NY
Practice Address - Zip Code:11949-3261
Practice Address - Country:US
Practice Address - Phone:631-946-3033
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-21
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health