Healthcare Provider Details

I. General information

NPI: 1982937371
Provider Name (Legal Business Name): LISA ARNONE MSW, LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/16/2009
Last Update Date: 09/16/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 WASHINGTON ST STE 648
BROOKLYN NY
11201-1096
US

IV. Provider business mailing address

25 WASHINGTON STREET #648
BROOKLYN NY
11201
UM

V. Phone/Fax

Practice location:
  • Phone: 646-321-5549
  • Fax:
Mailing address:
  • Phone: 646-321-5549
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberR0445741
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: