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

MS. Lisa Molluso

Individual provider Clinical Social Worker · NPI 1669543732

MS. Lisa Molluso is a Clinical Social Worker in Bellport, New York. Qualified in 2002, 24 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in New York.

Years since qualifying
24
Licensed in
NY
In the registry since
2006
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Practice location Address checks out

16 Station Rd Ste 7
Bellport, NY 11713-2449
Phone: (631) 338-5617
Fax: (631) 758-2858
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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 R072825 (NY)

Record details

NPI number1669543732
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 12, 2006
Last updated in NPPESJuly 13, 2012
Mailing addressPo Box 131, Patchogue, NY 11772-0131

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Bellport