Individual provider Active NPI

Louise Rina Cangialosi, LCSW R

  • Social Worker
  • Glendale, NY
National Provider Identifier
1093160152
Registry record updated Apr 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
RO54308 Issued in NY
Practice address
8275 88TH LN
2ND Floor
Glendale, NY 11385-7858
Phone
(917) 445-3481
NPI assigned
Apr 26, 2016
Last updated
Apr 26, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2016

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 RO54308 NY Primary

Addresses

Primary practice location

8275 88TH LN
2ND Floor
Glendale, NY 11385-7858

Mailing address

8275 88TH LN
2ND Floor
Glendale, NY 11385-7858
Phone (917) 445-3481

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20170119000595 NY Practitioner - Clinical Social Worker 9537441902 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RO54308NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Current Accepting new patients
Sun River Health Inc Current Accepting new patients
Sun River Health Inc. CurrentSince Feb 4, 2019 Accepting new patients

Locations

3360 Route 343
Amenia, NY 12501
Phone (845) 373-9006

2400 Linden Blvd
Brooklyn, NY 11208
Phone (718) 257-5800

803 Sterling Pl
Brooklyn, NY 11216
Phone (718) 613-1700

Interoperability endpoints

  • Direct secure messaging: louisecangialosi@tdh.allscriptsdirect.net

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1461628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461628800000",
    "number": "1093160152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8275 88TH LN",
            "address_2": "2ND FLOOR",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "113857858",
            "telephone_number": "917-445-3481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8275 88TH LN",
            "address_2": "2ND FLOOR",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "113857858",
            "telephone_number": "917-445-3481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANGIALOSI",
        "first_name": "LOUISE",
        "middle_name": "RINA",
        "name_prefix": "Ms.",
        "credential": "LCSW R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-26",
        "last_updated": "2016-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "RO54308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, NY

Sources for this page

Verify at the official NPI Registry.