LISA J CARAVOUSANOS LCSWR
NPI 1720299167
Social Worker - Clinical in Shirley, NY

Q: What is Lisa Caravousanos's NPI number?

The NPI number for Lisa Caravousanos is 1720299167. It was assigned to this individual provider in the NPPES registry on May 25, 2007.

Q: What is Lisa Caravousanos's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Lisa Caravousanos was last updated on June 14, 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.

Active since May 25, 2007PECOS Enrolled

550 MONTAUK HWY, SHIRLEY, NY 11967(631) 490-3040(631) 490-3055 Get Directions Write a Review

NPPES record last updated: June 14, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 14, 2024, Apr 4, 2024, Jan 10, 2019 (3 updates tracked since 2019).

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About Lisa J Caravousanos Lcswr NPPES

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

LISA J CARAVOUSANOS LCSWR (NPI 1720299167) is an individual clinical provider in Shirley, New York, licensed in New York (072684) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720299167

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameLISA J CARAVOUSANOSCredential: LCSWR

Location Address550 MONTAUK HWYShirley, NY 11967-2114

Mailing AddressPo Box 5036White Plains, NY 10602-5036 · (845) 745-3611

Phone(631) 490-3040

Fax(631) 490-3055

Sole ProprietorNo

Enumeration DateMay 25, 2007

Last NPPES UpdateJune 14, 20243 updates tracked since enumeration

NPPES CertifiedJune 14, 2024

✔ NPI 1720299167 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 · 072684

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.

550 MONTAUK HWY, Shirley, NY 11967

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Other Identifiers 1

Medicaid03090140NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lisa J Caravousanos Lcswr is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

Medicare enrollment records show Lisa Caravousanos reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Brookhaven Memorial Hospital Medical Center

3.6 mi

Family Medicine

515 BELLPORT AVE
Bellport, NY 11713

Reassigned Medicare billing, New York enrollment
89 clinicians in this Medicare group

NPI 1184041899 (631) 227-6600

Sun River Health Inc

54 mi

Adult Day Care

1543-1545 INWOOD AVENUE, HUDSON RIVER HEALTHCARE ADULT DAY PROGRAM
Bronx, NY 10452

Reassigned Medicare billing, New York enrollment
683 clinicians in this Medicare group

NPI 1740763275 (855) 681-8700

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11967 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 20

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

AIMEE B MEYER LCSW

Social Worker (Clinical)