Provider Demographics
NPI:1386977890
Name:NAVARRA, LISA (LICSW)
Entity type:Individual
Prefix:MS
First Name:LISA
Middle Name:
Last Name:NAVARRA
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 MANOR RD
Mailing Address - Street 2:
Mailing Address - City:EAST HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06512-1215
Mailing Address - Country:US
Mailing Address - Phone:781-267-9464
Mailing Address - Fax:
Practice Address - Street 1:6 MANOR RD
Practice Address - Street 2:
Practice Address - City:EAST HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06512-1215
Practice Address - Country:US
Practice Address - Phone:781-267-9464
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-15
Last Update Date:2018-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty