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

Mrs. Lisa Broccoli Defusco, LCSW

Individual provider Clinical Social Worker · NPI 1952656837

Mrs. Lisa Broccoli Defusco, LCSW is a Clinical Social Worker in Providence, Rhode Island. Licensed in Rhode Island. Registered with an NPI since 2012.

Licensed in
RI
In the registry since
2012
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

55 Hope St
Providence, RI 02906-2001
Phone: (401) 331-1350
Fax: (401) 277-3366
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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 ISW02535. (RI)
Clinical Social Worker Taxonomy 1041C0700X · Licence CSW01449 (RI)

Record details

NPI number1952656837
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJuly 17, 2012
Last updated in NPPESMay 15, 2025
Certification dateMay 15, 2025

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