Angelina Graziosi, LCSW
Individual provider Active NPI Clinical Social Worker · Southold, NY
NPI 1104005750 · NPPES record last updated Feb 1, 2021
Key facts
- NPI
- 1104005750
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 070346 (NY)
- Practice address
- 57190 Main Rd
Southold, NY 11971-4750 - Phone
- (631) 626-1006
- NPI assigned
- Oct 31, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 1997
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
- Visiting Counselors LCSW PLLC
Practice addresses (Care Compare)
900 Walt Whitman Rd
Suite LL1
Melville, NY 11747-2215
Phone (516) 698-5511
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040417000385 | NY | Practitioner - Clinical Social Worker | 5991790040 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070346 | NY | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Visiting Counselors of New York, LCSW, PLLC | Clinical | Current |
Accepting new patients |
| Visiting Counselors, LCSW, PLLC | Clinical | Current |
Accepting new patients |
| Tina Flanagan Licensed Mental Health Counselor P.C. | Past | Accepting new patients |
Locations
900 Walt Whitman Rd
Ste LL1
Melville, NY 11747
Phone (516) 698-5511
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 070346 | NY | Yes |
Addresses
Primary practice location
57190 Main Rd
Southold, NY 11971-4750
Mailing address
40 Glen Keith Rd Apt U
Glen Cove, NY 11542-3515
Phone (516) 659-6114
Other practice location 1
900 Walt Whitman Rd Ste Ll1
Melville, NY 11747-2215
Phone (516) 698-5511
Other names
- Angelina Gibbons
Other providers in Southold, NY
- Margaret Ann Garvey
- Gary a. Despres Physical Therapy P.C.
- Maryann Elizabeth Gensler
- Nisha Manoj Ghayalod
- Madison Gore
- Nordea Eloina Harrison-Bailey
- Carrie Imperato
- Infinite Possiblities Therapy
- Janet Jackowski
- Jelaine Physical Therapy, PLLC
All providers in Southold, NY · Clinical Social Worker in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 1, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.