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LISA A. DIMITRI LCSW
NPI 1124304571
Counselor - School in Oakdale, NY

Active since October 31, 2011Opted out of Medicare · through Oct 6, 2027
755 MAIN ST STE 3, OAKDALE, NY 11769(631) 678-7170(631) 224-8940 Get Directions Write a Review

NPPES record last updated: January 22, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 24, 2023, Aug 17, 2016 (2 updates tracked since 2016).

About Lisa A. Dimitri Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISA A. DIMITRI LCSW (NPI 1124304571) is an individual school provider in Oakdale, New York, licensed in New York (074292-1) and active in the NPI registry since October 2011. She has opted out of Medicare through October 6, 2027.

NPPES Registry Identity

NPI1124304571
Entity TypeIndividualFemale
Primary Taxonomy101YS0200X
Provider Legal NameLISA A. DIMITRICredential: LCSW
Location Address755 MAIN ST STE 3Oakdale, NY 11769-1801
Mailing Address116 Biltmore AveOakdale, NY 11769-1157 · (631) 678-7170
Phone(631) 678-7170
Fax(631) 224-8940
Sole ProprietorYes
Enumeration DateOctober 31, 2011
Last NPPES UpdateJanuary 22, 20242 updates tracked since enumeration
NPPES CertifiedDecember 8, 2023
✔ NPI 1124304571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · SchoolBehavioral Health & Social Service Providers
Taxonomy Code101YS0200X
License✔ Licensed in NY · 074292-1
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License R074292-1 (NY)
755 MAIN ST STE 3, Oakdale, NY 11769
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Lisa A. Dimitri Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 6, 2025 through October 6, 2027.

Opt-Out Effective DateOctober 6, 2025
Opt-Out In Effect ThroughOctober 6, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SOUTH SHORE COUNSELING LCSW, PLLC
Social Worker (Clinical)
755 MAIN ST STE 3
OAKDALE, NY 11769
Suffolk County (631) 678-7170
LISA DIMITRI LCSW PLLC
Social Worker (Clinical)
755 MAIN ST STE 3
OAKDALE, NY 11769
Suffolk County (631) 678-7170

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Dimitri's NPI number?

The NPI number for Lisa Dimitri is 1124304571. It was assigned to this individual provider in the NPPES registry on October 31, 2011.

Where is Lisa Dimitri located?

Lisa Dimitri practices at 755 Main St Ste 3, Oakdale, NY 11769. The listed phone number is (631) 678-7170.

What is Lisa Dimitri's specialty?

The primary specialty registered for this NPI is Counselor, specializing in School, with taxonomy code 101YS0200X.

Is Lisa Dimitri enrolled in Medicare?

No. Lisa Dimitri has opted out of Medicare through October 6, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Lisa Dimitri was last updated on January 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.