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

Mr. Lisandra Annette Indomenico, MSW

Individual provider Clinical Social Worker · NPI 1700154671

Mr. Lisandra Annette Indomenico, MSW is a Clinical Social Worker in Kissimmee, Florida. Licensed in Puerto Rico. Registered with an NPI since 2011.

Licensed in
PR
In the registry since
2011
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.

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Practice location Address checks out

111 E Monument Ave Unit 509
Kissimmee, FL 34741-5779
Phone: (407) 460-7850
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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 10680 (PR)

Record details

NPI number1700154671
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW
Sole proprietorNo
NPI enumeratedDecember 7, 2011
Last updated in NPPESOctober 6, 2012

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