Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Debra Lograno Dazzo, LCSW

Individual provider Clinical Social Worker · NPI 1194918110

Debra Lograno Dazzo, LCSW is a Clinical Social Worker in Port Jefferson Station, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2007
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

204 Patchogue Rd
Port Jefferson Station, NY 11776-1021
Phone: (631) 473-1320
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 073436 (NY)
Clinical Social Worker Taxonomy 1041C0700X

Record details

NPI number1194918110
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedAugust 22, 2007
Last updated in NPPESMarch 1, 2024
Certification dateMarch 1, 2024

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