Provider Demographics
NPI:1447270822
Name:LOMBARDI, DEBORAH HOPE (LCSW, MS, CASAC)
Entity type:Individual
Prefix:MISS
First Name:DEBORAH
Middle Name:HOPE
Last Name:LOMBARDI
Suffix:
Gender:F
Credentials:LCSW, MS, CASAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 W 34TH ST
Mailing Address - Street 2:SUITE 1200
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001-3006
Mailing Address - Country:US
Mailing Address - Phone:646-246-1257
Mailing Address - Fax:
Practice Address - Street 1:51 7TH AVE S
Practice Address - Street 2:APT 2F
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10014-6702
Practice Address - Country:US
Practice Address - Phone:646-246-1257
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-20
Last Update Date:2012-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY10817101YA0400X
NY056339-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)