Healthcare Provider Details

I. General information

NPI: 1275528622
Provider Name (Legal Business Name): LOIS ANN CIPRIANO MS LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/13/2005
Last Update Date: 04/06/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

146 W 80TH ST #4F
NEW YORK NY
10024-6337
US

IV. Provider business mailing address

146 W 80TH ST #4F
NEW YORK NY
10024-6337
US

V. Phone/Fax

Practice location:
  • Phone: 212-877-3792
  • Fax:
Mailing address:
  • Phone: 212-877-3792
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberPR0277881
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: