Beneventano, Lisa

Beneventano, Lisa is an sole proprietor health care provider with primary practice located at 215 Hallock Rd Ste 1A , Stony Brook NY 11790-3079. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Beneventano, Lisa can be contacted via phone (631) 551-5095.

Contact Information

Primary practice address
215 Hallock Rd Ste 1A Stony Brook NY 11790-3079
Phone: (631) 551-5095
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 079372 New York
Behavioral Health & Social Service Providers / Clinical 1041C0700X 088439 New York

Profile Details

NPI number 1013444702
LBN Legal business name Beneventano, Lisa
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 12th, 2017
Last updated May 30th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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