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

Lisa Sullivan, LCSW

Individual provider Clinical Social Worker · NPI 1336486414

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

Licensed in
NY
In the registry since
2013
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

31 Industrial Blvd
Medford, NY 11763-2220
Phone: (631) 205-6232
Fax: (631) 924-4454
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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 083436-1 (NY)

Record details

NPI number1336486414
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJanuary 10, 2013
Last updated in NPPESJanuary 25, 2022
Certification dateJanuary 25, 2022
Mailing address31 Industrial Blvd, Medford, NY 11763-2220

Other providers in Medford