Nunzio Signorella, LCSW, CASAC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

067599 Issued in NY

Practice address

300 W 72ND St Apt 1C
New York, NY 10023-2661

Phone

(347) 675-9873

Fax

(585) 539-1021

NPI assigned

Apr 7, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Dec 8, 2023 through Dec 8, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Avanza Practice Partners

  • Clinical Social Worker
  • New York, NY
  • NPI 1700355658
  NPD Authorized official
• Brightpoint Health

  • Adult Day Care Clinic/Center
  • Bronx, NY
  • NPI 1619369584
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567209600000",
    "number": "1013030972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W 72ND ST APT 1C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100232661",
            "telephone_number": "347-675-9873",
            "fax_number": "585-539-1021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W 72ND ST APT 1C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100232661",
            "telephone_number": "347-675-9873",
            "fax_number": "585-539-1021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIGNORELLA",
        "first_name": "NUNZIO",
        "name_prefix": "Mr.",
        "credential": "LCSW, CASAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-07",
        "last_updated": "2019-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "13192",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "082493",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "067599",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02542107",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nunzio@avanzatherapypractice.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "text",
            "address_1": "300 W 72nd St Apt 1C",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100232661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Signature Learning Resources
• Signature Learning Resources, Inc.
• Signature Ma Licensed Applied Behavior Analysis, P.C.
• Miya Katina Signor
• Melissa Signore, LMHC
• Jordan Signorelli
• Teresa Signorelli, CCC-SLP
• William Joseph Signorile, MD
• Claudia V Siguenza, M.A., CCC-SLP
• Asgeir Sigurdsson, DDS

• Mental Health Counselor in New York, NY
• Providers in New York, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.