Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Victoria De Lissovoy, LCSW

Individual provider Clinical Social Worker · NPI 1639124100

MS. Victoria De Lissovoy, LCSW is a Clinical Social Worker in Lake Wales, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2006
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

1109 Bryn Mawr Ave
Lake Wales, FL 33853-4333
Phone: (863) 605-1865
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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 SW6807 (FL)

Record details

NPI number1639124100
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedMay 23, 2006
Last updated in NPPESJune 4, 2008

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