Provider Demographics
NPI:1588703367
Name:CATANZARO, LISA A (LCSW-R)
Entity type:Individual
Prefix:MS
First Name:LISA
Middle Name:A
Last Name:CATANZARO
Suffix:
Gender:F
Credentials:LCSW-R
Other - Prefix:
Other - First Name:LISA
Other - Middle Name:A
Other - Last Name:HONAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW-R
Mailing Address - Street 1:42 CLINTON AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT JAMES
Mailing Address - State:NY
Mailing Address - Zip Code:11780-1769
Mailing Address - Country:US
Mailing Address - Phone:516-661-8791
Mailing Address - Fax:
Practice Address - Street 1:42 CLINTON AVE
Practice Address - Street 2:
Practice Address - City:SAINT JAMES
Practice Address - State:NY
Practice Address - Zip Code:11780-1769
Practice Address - Country:US
Practice Address - Phone:516-661-8791
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-06
Last Update Date:2019-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP061156-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical