Provider Demographics
NPI:1811716624
Name:MARCHIANO, LISA ANNE (LCSW)
Entity type:Individual
Prefix:
First Name:LISA
Middle Name:ANNE
Last Name:MARCHIANO
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 1:87 WINTHROP RD
Mailing Address - Street 2:
Mailing Address - City:HILLSDALE
Mailing Address - State:NJ
Mailing Address - Zip Code:07642-1113
Mailing Address - Country:US
Mailing Address - Phone:201-696-6453
Mailing Address - Fax:
Practice Address - Street 1:87 WINTHROP RD
Practice Address - Street 2:
Practice Address - City:HILLSDALE
Practice Address - State:NJ
Practice Address - Zip Code:07642-1113
Practice Address - Country:US
Practice Address - Phone:201-696-6453
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-08
Last Update Date:2024-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC063969001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical