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MRS. LISA REYNOLDS CASAC
NPI 1952728370
Counselor - Addiction (Substance Use Disorder) in Medford, NY

Active since March 24, 2014
3251 ROUTE 112, BLDG 9 SUITE 2, MEDFORD, NY 11763(631) 451-6007(631) 297-8121 Get Directions Write a Review

NPPES record last updated: March 24, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Lisa Reynolds Casac NPPES

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

MRS. LISA REYNOLDS CASAC (NPI 1952728370) is an individual addiction (substance use disorder) provider in Medford, New York, licensed in New York (22297) and active in the NPI registry since March 2014.

NPPES Registry Identity

NPI1952728370
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMRS. LISA REYNOLDSCredential: CASAC
Location Address3251 ROUTE 112, BLDG 9 SUITE 2Medford, NY 11763-1446
Mailing Address977 N Ocean AvePatchogue, NY 11772-1106 · (631) 451-6007 · Fax (631) 297-8121
Phone(631) 451-6007
Fax(631) 297-8121
Sole ProprietorNo
Enumeration DateMarch 24, 2014
✔ NPI 1952728370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in NY · 22297
3251 ROUTE 112, Medford, NY 11763
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Other Providers at the Same Location NPPES 17

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

EMILY KLEIN LMSW
Social Worker
3251 ROUTE 112
MEDFORD, NY 11763
Suffolk County (631) 451-6007
DIANA VOLLARO SLP LLC
Clinic/Center (Hearing and Speech)
3251 ROUTE 112, BLDG. 9, SUITE 3
MEDFORD, NY 11763
Suffolk County (631) 732-4794
MR. CHRISTOPHER MATTIMORE CASAC
Counselor (Addiction (Substance Use Disorder))
3251 ROUTE 112, BLDG. 9, STE. 2
MEDFORD, NY 11763
Suffolk County (631) 451-6007
GLADYS KNOWLES
Case Manager/Care Coordinator
3251 ROUTE 112
MEDFORD, NY 11763
Suffolk County (631) 451-6007
MS. CABRINA MARIE RIGGIO LMHC, CASAC
Counselor (Mental Health)
3251 ROUTE 112, BLDG 9, SUITE 2
MEDFORD, NY 11763
Suffolk County (631) 451-6007
HELEN SIMON
Counselor (Addiction (Substance Use Disorder))
3251 ROUTE 112, BUILDING 9, SUITE 2
MEDFORD, NY 11763
Suffolk County (631) 451-6007
JOANNA E KELLY LCSW
Social Worker (Clinical)
3251 ROUTE 112, BUILDING #9, SUITE 2
MEDFORD, NY 11763
Suffolk County (631) 451-6007
DOLORES M GARRY LMSW
Social Worker
3251 ROUTE 112, BUILDING 9, SUITE 2
MEDFORD, NY 11763
Suffolk County (631) 451-6007

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 Reynolds's NPI number?

The NPI number for Lisa Reynolds is 1952728370. It was assigned to this individual provider in the NPPES registry on March 24, 2014.

Where is Lisa Reynolds located?

Lisa Reynolds practices at 3251 Route 112 Bldg 9 Suite 2, Medford, NY 11763. The listed phone number is (631) 451-6007.

What is Lisa Reynolds's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Lisa Reynolds was last updated on March 24, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.