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

Lisa Sprague, LCSW

Individual provider Clinical Social Worker · NPI 1114453305

Lisa Sprague, LCSW is a Clinical Social Worker in Bohemia, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2017
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

793 Sycamore Ave
Bohemia, NY 11716-3514
Phone: (631) 291-5101
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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 88407 (NY)

Record details

NPI number1114453305
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedMay 7, 2017
Last updated in NPPESJanuary 12, 2025
Certification dateJanuary 12, 2025
Mailing addressPo Box 214, Great River, NY 11739-0214

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