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

MS. Lisa Marie Vullo, LCSW

Individual provider Clinical Social Worker · NPI 1154838910

MS. Lisa Marie Vullo, LCSW is a Clinical Social Worker in Port Charlotte, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2018
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

3432 Depew Ave
Port Charlotte, FL 33952-7015
Phone: (848) 422-9245
Fax: (848) 422-9245
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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 SW6123 (FL)

Record details

NPI number1154838910
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJanuary 2, 2018
Last updated in NPPESJanuary 2, 2018

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