Provider Demographics
NPI:1932954237
Name:LAGO, GIOVANNA MARIE (LMSW)
Entity Type:Individual
Prefix:MRS
First Name:GIOVANNA
Middle Name:MARIE
Last Name:LAGO
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 CYPRESS POINT DR
Mailing Address - Street 2:
Mailing Address - City:PURCHASE
Mailing Address - State:NY
Mailing Address - Zip Code:10577-1503
Mailing Address - Country:US
Mailing Address - Phone:914-843-0871
Mailing Address - Fax:
Practice Address - Street 1:1 CYPRESS POINT DR
Practice Address - Street 2:
Practice Address - City:PURCHASE
Practice Address - State:NY
Practice Address - Zip Code:10577-1503
Practice Address - Country:US
Practice Address - Phone:914-843-0871
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-19
Last Update Date:2024-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY22733571041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool