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LISA C. DELUCA LCSW
NPI 1669697397
Social Worker - Clinical in Southold, NY

Active since April 16, 2007Opted out of Medicare · through Dec 27, 2026
53840 MAIN ROAD, SOUTHOLD, NY 11971(631) 903-4177 Get Directions Write a Review

NPPES record last updated: November 7, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lisa C. Deluca Lcsw NPPES

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

LISA C. DELUCA LCSW (NPI 1669697397) is an individual clinical provider in Southold, New York, licensed in New York (082470-1) and active in the NPI registry since April 2007. She has opted out of Medicare through December 27, 2026.

NPPES Registry Identity

NPI1669697397
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameLISA C. DELUCACredential: LCSW
Location Address53840 MAIN ROADSouthold, NY 11971
Mailing Address175 The CrosswaysEast Marion, NY 11939-1007 · (631) 903-4177
Phone(631) 903-4177
Sole ProprietorYes
Enumeration DateApril 16, 2007
Last NPPES UpdateNovember 7, 2014
✔ NPI 1669697397 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 · 082470-1
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.
53840 MAIN ROAD, Southold, NY 11971
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Other Identifiers 1

Other84-1694997NY · Ein

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 C. Deluca 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 December 27, 2022 through December 27, 2026.

Opt-Out Effective DateDecember 27, 2022
Opt-Out In Effect ThroughDecember 27, 2026Opt-out affidavits renew automatically every two years unless cancelled

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 Deluca's NPI number?

The NPI number for Lisa Deluca is 1669697397. It was assigned to this individual provider in the NPPES registry on April 16, 2007.

Where is Lisa Deluca located?

Lisa Deluca practices at 53840 Main Road, Southold, NY 11971. The listed phone number is (631) 903-4177.

What is Lisa Deluca's specialty?

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

Is Lisa Deluca enrolled in Medicare?

No. Lisa Deluca has opted out of Medicare through December 27, 2026. 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 Deluca was last updated on November 7, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.