Individual
MS. MICHELLE DE LISIO
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
L.I.C.S.W., L.A.D.C.
Contact information
Practice address
25 GARFIELD ST, GREENFIELD, MA 01301-2512
(413) 772-8826
(413) 774-5946
Mailing address
25 GARFIELD ST, GREENFIELD, MA 01301-2512
(413) 772-8826
(413) 774-5946
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
314
MA
1041C0700X
Clinical Social Worker
1019513
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101951
TUFTS HEALTH PLAN
MA
01
—
156061
MANAGED HEALTH NETWORK
MA
01
—
P07257
BLUE CROSS/BLUE SHIELD
MA
Enumeration date
09/15/2005
Last updated
09/11/2025
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