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MRS. MARISA BOULUKOS LCSWR
NPI 1437203320
Social Worker - Clinical in Massapequa, NY

Active since January 22, 2007
75 GRAND AVE, MASSAPEQUA, NY 11758(516) 799-3202 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Marisa Boulukos Lcswr NPPES

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

MRS. MARISA BOULUKOS LCSWR (NPI 1437203320) is an individual clinical provider in Massapequa, New York, licensed in New York (R042317-1) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1437203320
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. MARISA BOULUKOSCredential: LCSWR
Location Address75 GRAND AVEMassapequa, NY 11758-4905
Mailing Address57 Crescent Cove CtSeaford, NY 11783-3649 · (561) 781-9540
Phone(516) 799-3202
Sole ProprietorYes
Enumeration DateJanuary 22, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1437203320 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 · R042317-1
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.
75 GRAND AVE, Massapequa, NY 11758
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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.

MS. KELLY KOWALEK LMSW
Social Worker (Clinical)
75 GRAND AVE
MASSAPEQUA, NY 11758
Nassau County (516) 799-3203
MRS. ANGELA PICCININNI LCSW R
Social Worker (Clinical)
75 GRAND AVE
MASSAPEQUA, NY 11758
Nassau County (519) 799-3203
MS. MEGAN CATHERINE MCCORMACK LMSW
Social Worker (Clinical)
75 GRAND AVE
MASSAPEQUA, NY 11758
Nassau County (516) 799-3203
ALYSSA FOUAD
Social Worker
75 GRAND AVE
MASSAPEQUA, NY 11758
Nassau County (515) 719-0313
ASHLYN MARIE RUSSO
Marriage & Family Therapist
75 GRAND AVE
MASSAPEQUA, NY 11758
Nassau County (516) 799-3203
MICHELLE HARCLERODE
Counselor
75 GRAND AVE
MASSAPEQUA, NY 11758
Nassau County (516) 799-3203
DANIELLE ISABELLA SIMONE LMSW
Social Worker
75 GRAND AVE
MASSAPEQUA, NY 11758
Nassau County (516) 799-3203
MRS. CORINNE AGNES ALBA LMHC, CASAC
Counselor (Mental Health)
75 GRAND AVE
MASSAPEQUA, NY 11758
Nassau County (516) 885-1818

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 Marisa Boulukos's NPI number?

The NPI number for Marisa Boulukos is 1437203320. It was assigned to this individual provider in the NPPES registry on January 22, 2007.

Where is Marisa Boulukos located?

Marisa Boulukos practices at 75 Grand Ave, Massapequa, NY 11758. The listed phone number is (516) 799-3202.

What is Marisa Boulukos's specialty?

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

When was this NPI record last updated?

The NPPES record for Marisa Boulukos was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.