Provider Demographics
NPI:1265074645
Name:LOPARDO, CLAIRE MARIE (LCSW)
Entity type:Individual
Prefix:
First Name:CLAIRE
Middle Name:MARIE
Last Name:LOPARDO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:190 MERRICK RD UNIT 6
Mailing Address - Street 2:
Mailing Address - City:AMITYVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11701-3428
Mailing Address - Country:US
Mailing Address - Phone:631-524-0400
Mailing Address - Fax:
Practice Address - Street 1:190 MERRICK RD UNIT 6
Practice Address - Street 2:
Practice Address - City:AMITYVILLE
Practice Address - State:NY
Practice Address - Zip Code:11701-3428
Practice Address - Country:US
Practice Address - Phone:631-524-0400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-17
Last Update Date:2023-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY105841-1104100000X
NY095191-011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker