LISA J HULAHAN (NPI# 1720299167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720299167 |
| Entity Type | Individual |
| Full Name | LISA J HULAHAN |
| Credential | LCSW |
| Practice Address |
450 Waverly Ave Bldg #3 Patchogue NY 11772-1555 |
| Practice Telephone | 6313632001 |
| Practice Fax Number | 6313632017 |
| Mailing Telephone | 6313632001 |
| Mailing Fax Number | 6313632017 |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2019-01-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
072684 | NY | Behavioral Health & Social Service Providers |
| Street Address |
450 WAVERLY AVE BLDG #3 |
| City | PATCHOGUE |
| State | NY |
| Zip Code | 11772-1555 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962444869 | Cathy Coleman | Pediatrics | 450 Waverly Ave, Patchogue, NY 11772-1555 | 2006-06-12 |
| 1831720945 | Faroqui Medical PC | Internal Medicine | 450 Waverly Ave, Bldg 2 Ste 1, Patchogue, NY 11772 | 2020-01-28 |
| 1477184679 | Singh's Medical PC | Internal Medicine | 450 Waverly Ave, Bldg 2, Suite 1, Patchogue, NY 11772 | 2020-01-28 |
| 1578194783 | Stambler Medical PC | Internal Medicine | 450 Waverly Ave, Bldg 2 Ste 1, Patchogue, NY 11772 | 2020-01-28 |
| 1164984498 | Grace Mroz Np In Psychiatry Pllc | Psychiatry & Neurology | 450 Waverly Ave, Building 4 Suite 11, Patchogue, NY 11772 | 2019-04-04 |
| 1578004750 | John Mroz | Nurse Practitioner | 450 Waverly Ave, Suite 11, Patchogue, NY 11772-1555 | 2017-03-20 |
| 1437596434 | Patchogue Diagnostic Radiology,pc | Specialist | 450 Waverly Ave, Building 2, Patchogue, NY 11772-1555 | 2013-05-30 |
| 1831459684 | Parkway Imaging & Diagnostic PC | Radiology | 450 Waverly Ave, Patchogue, NY 11772-1555 | 2012-05-25 |
| 1013202944 | Laura Anne Van Schaick-harman | Psychologist | 450 Waverly Ave, Building 4 Suite 11, Patchogue, NY 11772-1555 | 2011-06-20 |
| 1790084275 | Jenna Ann Mastromarino | Social Worker | 450 Waverly Ave, Building #3, Patchogue, NY 11772-1555 | 2011-03-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205447224 | Amita Vipul Patel | Nurse Practitioner | Longlsland Community Hospital, 101 Hospital Rd, Patchogue, NY 11772 | 2020-08-13 |
| 1609491968 | Sanjib Dey | Family Medicine | Brookhaven Nephrology Associates, 260 E. Patchogue-yaphank Rd., Patchogue, NY 11772 | 2020-06-12 |
| 1992297204 | Camila Bueno-sanchez | Student in an Organized Health Care Education/Training Program | 676 S Country Rd, East Patchogue, NY 11772 | 2018-06-01 |
| 1184115859 | Premier Endodontics of Patchogue | Dentist | 44 Medford Avenue, Patchogue, NY 11772 | 2018-05-29 |
| 1801386453 | Franklin Ikechukwu Ugbode | Student in an Organized Health Care Education/Training Program | 100 Hospital Road Suite 201, Patchogue, NY 11772 | 2018-05-18 |
| 1508372335 | Stephanie Vanschaick | Counselor | 450 Waverly Ave Ste 11, Patchogue, NY 11772 | 2017-12-15 |
| 1578074498 | Chrystal Lee Curran | Specialist | 1116 Main Road, Aquebogue, NY 11772 | 2017-10-18 |
| 1013457712 | Candyce Fahner | Registered Nurse | 22 Haig Ave, E Patchogue, NY 11772 | 2017-02-28 |
| 1992251631 | Vanessa Lynn Petoello | Nurse Practitioner | 107 N/ Ocean Ave, Suite G, Patchogue, NY 11772 | 2016-09-01 |
| 1811343809 | Andrew Vanderlofske | Nurse Practitioner | 144 North Ocean Avenue, Patchogue, NY 11772 | 2016-05-09 |
| Find all providers in zip 11772 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649816448 | Keriann Oleary | Social Worker | 132 Marvin St, Patchogue, NY 11772-3958 | 2019-11-27 |
| 1457618712 | Pablo Fernando Guevara | Social Worker | 19 N Ocean Ave, Patchogue, NY 11772-2001 | 2012-04-11 |
| 1144586488 | Alexandra Ann Lennon | Social Worker | 241 S. Ocean Avenue., Patchogue-medford School District, Patchogue, NY 11772 | 2012-04-11 |
| 1346530680 | Jennifer Lynn Kelsch | Social Worker | 168 North Ocean Avenue, Patchogue, NY 11772 | 2011-04-07 |
| 1184922460 | Discoveries Therapy Lcsw, P.C. | Social Worker | 124 Rt. 112, Ste. C, Patchogue, NY 11772-1232 | 2011-03-10 |
| 1376844845 | Frances P Redarrow | Social Worker | 20 Medford Ave Ste 109, Patchogue, NY 11772-1220 | 2010-11-15 |
| 1871736553 | Kathleen Frances Malsky | Social Worker | 20 Medford Ave, Suite 100, Patchogue, NY 11772-1290 | 2009-04-11 |
| 1477723443 | Kristen Anne Gauler | Social Worker | 68 Bridge Ave, Patchogue, NY 11772-2717 | 2008-03-06 |
| 1902074024 | Elizabeth Quinlan | Social Worker | 124 Route 112, Suite C, Patchogue, NY 11772-1232 | 2008-02-11 |
| 1366650467 | Theresa M. Dyer | Social Worker | 137 Bay Ave, Patchogue, NY 11772-4054 | 2007-05-21 |
| Find all providers in PATCHOGUE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.