MRS. MARIE DOROTHEA LISIESKI (NPI# 1861867442) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861867442 |
| Entity Type | Individual |
| Full Name | MRS. MARIE DOROTHEA LISIESKI |
| Credential | LCSW |
| Practice Address |
2400 Main Street Bridgeport CT 06606 |
| Practice Telephone | 2033623932 |
| Practice Fax Number | 2033622463 |
| Mailing Telephone | 2033623932 |
| Mailing Fax Number | 2033622463 |
| Enumeration Date | 2015-12-08 |
| Last Update Date | 2015-12-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
009261 | CT | Behavioral Health & Social Service Providers |
| Street Address |
2400 MAIN STREET |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962023408 | Madeline Acquilano | Pharmacist | 2800 East Main St, Bridgeport, CT 06606 | 2020-05-06 |
| 1578192001 | Karin Alexandra Skalina | Student in an Organized Health Care Education/Training Program | 2800 Main St., Dept. of Medicine, Bridgeport, CT 06606 | 2020-04-06 |
| 1720641293 | Valeriia Klymenko | Student in an Organized Health Care Education/Training Program | 2800 Main Street, Department of Medicine, Bridgeport, CT 06606 | 2019-04-19 |
| 1821579996 | Ashley Liese | Nurse Practitioner | Cardiology Physicians of Fairfield County, 2679 Main St, Bridgeport, CT 06606 | 2018-08-27 |
| 1699261289 | Gema Estefania Giler-sacoto | Student in an Organized Health Care Education/Training Program | St. Vincent's Medical Center, 2800 Main Street, Department of Medicine, Bridgeport, CT 06606 | 2018-07-06 |
| 1114418365 | Jona Bumci | Physician Assistant | 3180 Main St Ste 304, Bridgeport, CT 06606 | 2018-05-23 |
| 1023471299 | Qmg4, LLC | Family Medicine | 4200 Main Street, Bridgeport, CT 06606 | 2016-04-04 |
| 1548603384 | Gerald E. Hedley | Internal Medicine | 390 Charles Street Unit #101, Bridgeport, CT 06606 | 2013-04-11 |
| 1487997581 | Gerald Micalizzi, M.d., LLC | Radiology | 558 Fairview Avenue, Bridgeport, CT 06606 | 2013-03-27 |
| 1164728325 | Irene Rivera | Social Worker | 5 Pinepoint Drive, Bridge Port, CT 06606 | 2011-02-07 |
| Find all providers in zip 06606 | ||||
| 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 |
|---|---|---|---|---|
| 1477163400 | Christine Rene Meredith | Social Worker | 505 Hovey St, Bridgeport, TX 76426-2923 | 2020-08-04 |
| 1225647597 | Synaptic Communications | Social Worker | 73 Seaside Ave, Bridgeport, CT 06605-3540 | 2020-07-23 |
| 1548878192 | Theresa Manuel | Social Worker | 325 Lafayette St Unit 3105, Bridgeport, CT 06604-5475 | 2020-07-20 |
| 1396306015 | Shanika Rucker | Social Worker | 1000 Lafayette Blvd Ste 1105, Bridgeport, CT 06604-4725 | 2019-06-24 |
| 1780147322 | Rashanee Green-younger | Social Worker | 53 Louisiana Ave, Bridgeport, CT 06610-1542 | 2019-04-10 |
| 1396230801 | Victoria Zoeller | Social Worker | 140 John St, Bridgeport, CT 06604-4323 | 2018-06-27 |
| 1396252276 | Marriott Lpc | Social Worker | 3715 Main St Ste 402, Bridgeport, CT 06606-3611 | 2018-01-02 |
| 1477068203 | Tonisha Keon Cohen-king | Social Worker | 957 Evers Street Ext, Bridgeport, CT 06610-1261 | 2017-12-01 |
| 1073027322 | Cristine Connor | Social Worker | 154 Glenbrook Rd, Bridgeport, CT 06610-1149 | 2017-11-23 |
| 1194247916 | Jessica M. Maddern | Social Worker | 1558 Barnum Avenue, Building C, Bridgeport, CT 06610 | 2017-07-13 |
| Find all providers in BRIDGEPORT | ||||
| City | BRIDGEPORT |
| Zip Code | 06606 |
Please comment or provide details below to improve the information on MRS. MARIE DOROTHEA LISIESKI.
| 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.