MS. MICHELLE DE LISIO L.I.C.S.W. L.A.D.C. NPI 1932194917

NPI Information

NPI: 1932194917
Provider Name: MS. MICHELLE DE LISIO, L.I.C.S.W., L.A.D.C.
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

PECOS Registration: Yes

Address:
25 GARFIELD ST
GREENFIELD, MA
ZIP 01301
Phone: (413) 772-8826
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MS. Michelle De Lisio, L.I.C.S.W., L.A.D.C. is an addiction (substance use disorder) counselor in Greenfield, MA. MS. Michelle De Lisio, L.I.C.S.W., L.A.D.C. NPI is 1932194917. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

25 GARFIELD ST
GREENFIELD, MA
ZIP 01301-512
Phone: (413) 772-8826
Fax: (413) 774-5946

The NPI 1932194917 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 9/15/2005 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	314	MASSACHUSETTS	Yes
2	1041C0700X	Social Worker	Clinical	1019513	MASSACHUSETTS	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	156061	OTHER	MASSACHUSETTS	MANAGED HEALTH NETWORK
2	101951	OTHER	MASSACHUSETTS	TUFTS HEALTH PLAN
3	P07257	OTHER	MASSACHUSETTS	BLUE CROSS/BLUE SHIELD
4	P20148	MEDICARE ID-TYPE UNSPECIFIED	MASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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