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

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: August 09, 2026.

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

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, and ordering and referring status from the CMS PECOS system.

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.

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)
550 MONTAUK HWY
SHIRLEY, NY 11967
Suffolk County (631) 852-1070
MRS. DEBBIE-ANN KATHEEN ELLINGTON-TULLOCH APRN
Nurse Practitioner (Adult Health)
550 MONTAUK HWY
SHIRLEY, NY 11967
Suffolk County (631) 490-3040
MISS JODY NIKIA WONG LCSW
Social Worker (Clinical)
550 MONTAUK HWY
SHIRLEY, NY 11967
Suffolk County (347) 622-3922
MAYTE SANTIAGO TORRES LCSW
Social Worker
550 MONTAUK HWY
SHIRLEY, NY 11967
Suffolk County (631) 490-3040
ASHLEY WALKER-DICKMAN LCSW
Social Worker (Clinical)
550 MONTAUK HWY
SHIRLEY, NY 11967
Suffolk County (631) 852-1070
FREDERICA KING RN
Registered Nurse
550 MONTAUK HWY
SHIRLEY, NY 11967
Suffolk County (631) 852-1070
JACQUELYN M. GILDE LCSW
Social Worker (Clinical)
550 MONTAUK HWY
SHIRLEY, NY 11967
Suffolk County (631) 852-1070
SOBIA RIZVI MD
Psychiatry & Neurology (Psychiatry)
550 MONTAUK HWY
SHIRLEY, NY 11967
Suffolk County (631) 852-1070

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 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.

Where is Lisa Caravousanos located?

Lisa Caravousanos practices at 550 Montauk Hwy, Shirley, NY 11967. The listed phone number is (631) 490-3040.

What is Lisa Caravousanos's specialty?

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

Is Lisa Caravousanos enrolled in Medicare?

Yes. Lisa Caravousanos is registered in the Medicare PECOS enrollment system.

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.