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MS. LISA MOLLUSO
NPI 1669543732
Social Worker - Clinical in Bellport, NY

Active since November 12, 2006PECOS EnrolledAccepts Medicare Assignment
16 STATION RD, SUITE 7, BELLPORT, NY 11713(631) 338-5617(631) 758-2858 Get Directions Write a Review

NPPES record last updated: July 13, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Lisa Molluso NPPES

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

MS. LISA MOLLUSO (NPI 1669543732) is an individual clinical provider in Bellport, New York, licensed in New York (R072825) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1669543732
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. LISA MOLLUSO
Location Address16 STATION RD, SUITE 7Bellport, NY 11713-2449
Mailing AddressPo Box 131Patchogue, NY 11772-0131 · (631) 338-5617 · Fax (631) 758-2858
Phone(631) 338-5617
Fax(631) 758-2858
Sole ProprietorYes
Medical School CMSOtherGraduated 2002
Enumeration DateNovember 12, 2006
Last NPPES UpdateJuly 13, 2012
✔ NPI 1669543732 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 · R072825
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.
16 STATION RD, Bellport, NY 11713
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Other Identifiers 1

Medicare PINN74421NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Lisa Molluso is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7315017696
PECOS Enrollment IDI20080529000133
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11713 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $67.40 – $203.53
Typical copayment $0.00 (range $16.85 – $50.88)
Most-billed visit code NA
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

DR. KYM M. CARPENTIERI D.O.
Family Medicine
16 STATION RD, SUITE 5-6
BELLPORT, NY 11713
Suffolk County (631) 286-3995

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 Molluso's NPI number?

The NPI number for Lisa Molluso is 1669543732. It was assigned to this individual provider in the NPPES registry on November 12, 2006.

Where is Lisa Molluso located?

Lisa Molluso practices at 16 Station Rd Suite 7, Bellport, NY 11713. The listed phone number is (631) 338-5617.

What is Lisa Molluso's specialty?

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

Is Lisa Molluso enrolled in Medicare?

Yes. Lisa Molluso is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Lisa Molluso accept?

Health plans from Providence Health Plan list Lisa Molluso as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lisa Molluso was last updated on July 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.