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

Lisa J Caravousanos, LCSWR

Individual provider Clinical Social Worker · NPI 1720299167

Lisa J Caravousanos, LCSWR is a Clinical Social Worker in Shirley, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007

Practice location Address checks out

550 Montauk Hwy
Shirley, NY 11967-2114
Phone: (631) 490-3040
Fax: (631) 490-3055
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 072684 (NY)

Record details

NPI number1720299167
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSWR
Sole proprietorNo
NPI enumeratedMay 25, 2007
Last updated in NPPESJune 14, 2024
Certification dateJune 14, 2024

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