Individual provider Active NPI

Simone Margaret Vivio, LSW

  • Social Worker
  • Ligonier, PA
National Provider Identifier
1063240612
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SW141911 Issued in PA
Practice address
40 Springer Rd
Ligonier, PA 15658-8744
Phone
(724) 238-9531
NPI assigned
Jul 24, 2024
Last updated
Jul 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW141911 PA Primary

Addresses

Primary practice location

40 Springer Rd
Ligonier, PA 15658-8744

Mailing address

211 S Chestnut St
Scottdale, PA 15683-1909
Phone (724) 970-4502

Other practice location 1

196 Westgate Dr
Johnstown, PA 15905-1155
Phone (814) 533-5540

Other practice location 2

400 Kelly Ave
Wilkinsburg, PA 15221-3158
Phone (412) 371-9504

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SW141911PAMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1721779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1063240612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 S CHESTNUT ST",
            "city": "SCOTTDALE",
            "state": "PA",
            "postal_code": "156831909",
            "telephone_number": "724-970-4502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 SPRINGER RD",
            "city": "LIGONIER",
            "state": "PA",
            "postal_code": "156588744",
            "telephone_number": "724-238-9531"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "196 Westgate Dr",
            "address_purpose": "LOCATION",
            "city": "Johnstown",
            "state": "PA",
            "postal_code": "159051155",
            "country_code": "US",
            "telephone_number": "814-533-5540",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 Kelly Ave",
            "address_purpose": "LOCATION",
            "city": "Wilkinsburg",
            "state": "PA",
            "postal_code": "152213158",
            "country_code": "US",
            "telephone_number": "412-371-9504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VIVIO",
        "first_name": "SIMONE",
        "middle_name": "MARGARET",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-24",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW141911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ligonier, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.