Organization Active NPI

Roxane Mongelluzzo, LCSW

  • Community/Behavioral Health Agency
  • Connellsville, PA
National Provider Identifier
1083886543
Registry record updated Mar 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
CW008629L Issued in PA
Legal business name
ROXANE MONGELLUZZO, LCSW
Practice address
416 S Pittsburgh St
Connellsville, PA 15425-4003
Phone
(724) 626-8420
Fax
(724) 628-0898
NPI assigned
Mar 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2008

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

Authorized official

Name
Roxane Mongelluzzo, MSW/LCSWNPI 1285690891
Title
Licenced Clinical Social Worker
Phone
(724) 626-8420

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X CW008629L PA Primary

Addresses

Primary practice location

416 S Pittsburgh St
Connellsville, PA 15425-4003

Mailing address

416 S Pittsburgh St
Connellsville, PA 15425-4003
Phone (724) 626-8420

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1206403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206403200000",
    "number": "1083886543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 S PITTSBURGH ST",
            "city": "CONNELLSVILLE",
            "state": "PA",
            "postal_code": "154254003",
            "telephone_number": "724-626-8420",
            "fax_number": "724-628-0898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 S PITTSBURGH ST",
            "city": "CONNELLSVILLE",
            "state": "PA",
            "postal_code": "154254003",
            "telephone_number": "724-626-8420",
            "fax_number": "724-628-0898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROXANE MONGELLUZZO, LCSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-25",
        "last_updated": "2008-03-25",
        "status": "A",
        "authorized_official_last_name": "MONGELLUZZO",
        "authorized_official_first_name": "ROXANE",
        "authorized_official_title_or_position": "LICENCED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "724-626-8420",
        "authorized_official_credential": "MSW/LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "CW008629L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Connellsville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2008; 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.