LISA PICCIOTTO LCSW
NPI 1396035879
Social Worker - Clinical in Syracuse, NY

Q: What is Lisa Picciotto's NPI number?

The NPI number for Lisa Picciotto is 1396035879. It was assigned to this individual provider in the NPPES registry on April 18, 2011.

Q: What is Lisa Picciotto's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: Is Lisa Picciotto enrolled in Medicare?

No. Lisa Picciotto has opted out of Medicare through April 10, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Lisa Picciotto was last updated on September 15, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since April 18, 2011Opted out of Medicare · through Apr 10, 2028

1045 JAMES ST, SYRACUSE, NY 13203(315) 472-4471 Get Directions Write a Review

NPPES record last updated: September 15, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Lisa Picciotto Lcsw NPPES

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

LISA PICCIOTTO LCSW (NPI 1396035879) is an individual clinical provider in Syracuse, New York, licensed in New York (P79526) and active in the NPI registry since April 2011. She has opted out of Medicare through April 10, 2028.

NPPES Registry Identity

NPI1396035879

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameLISA PICCIOTTOCredential: LCSW

Location Address1045 JAMES STSyracuse, NY 13203-2730

Mailing Address1124 E Genesee StSyracuse, NY 13210-1912 · (315) 436-9245

Phone(315) 472-4471

Sole ProprietorYes

Enumeration DateApril 18, 2011

Last NPPES UpdateSeptember 15, 2015

✔ NPI 1396035879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in NY · P79526

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

1045 JAMES ST, Syracuse, NY 13203

Open in Google Maps ↗

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 Picciotto 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 April 10, 2024 through April 10, 2028.

Opt-Out Effective DateApril 10, 2024

Opt-Out In Effect ThroughApril 10, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

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

ANDREA ROSA VERGARA LCSW

Social Worker (Clinical)