Provider Demographics
NPI:1386798841
Name:PIZZARELLI, FRANCIS (LCSW,ACSW, DCSW)
Entity type:Individual
Prefix:
First Name:FRANCIS
Middle Name:
Last Name:PIZZARELLI
Suffix:
Gender:M
Credentials:LCSW,ACSW, DCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1313 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:PORT JEFFERSON
Mailing Address - State:NY
Mailing Address - Zip Code:11777-2226
Mailing Address - Country:US
Mailing Address - Phone:631-928-2377
Mailing Address - Fax:
Practice Address - Street 1:1313 MAIN ST
Practice Address - Street 2:
Practice Address - City:PORT JEFFERSON
Practice Address - State:NY
Practice Address - Zip Code:11777-2226
Practice Address - Country:US
Practice Address - Phone:631-928-2377
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY044777-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical