Patricia Donovan Travaglione, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R-048530 Issued in NY

Practice address

100 Manetto Hill Rd
Plainview, NY 11803-1311

Phone

(631) 433-1451

Fax

(516) 931-2106

NPI assigned

Apr 27, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

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.

• Learnwell Behavioral Health LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Plymouth, MA
  • NPI 1265134001
  Medicare reassignment NPD
• Comprehensive Counseling LCSW, PLLC

  • Clinical Social Worker
  • Bayside, NY
  • NPI 1982798773
  NPD
• Colony Care Inc

  dba Colony Care Behavioral Health

  • Mental Health Counselor
  • Wellesley, MA
  • NPI 1720053408
  NPD (past)

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

{
    "created_epoch": "1240790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240790400000",
    "number": "1053555631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 DALY RD",
            "city": "EAST NORTHPORT",
            "state": "NY",
            "postal_code": "117316303",
            "telephone_number": "631-433-1451",
            "fax_number": "631-980-4016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MANETTO HILL RD",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118031311",
            "telephone_number": "631-433-1451",
            "fax_number": "516-931-2106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAVAGLIONE",
        "first_name": "PATRICIA",
        "middle_name": "DONOVAN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-27",
        "last_updated": "2009-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R-048530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sofia O Torres
• Alexandra S Tory
• David D Tran, MD
• Tram Tran, P.T.
• Yulia Tranes
• Danielle M Travers, OTR/L
• Scott Trepeta, MD
• Sara Elizabeth Tripoli, P.T.
• Renata Trister
• Hailey Troise

• Clinical Social Worker in Plainview, NY
• Providers in Plainview, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.