Individual provider Active NPI

Peter Digilio, LCSW-R

  • Addiction (Substance Use Disorder) Counselor
  • Melville, NY
National Provider Identifier
1104905470
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
RP02433-1 Issued in NY
Practice address
1127 Avalon Court Dr
Melville, NY 11747-4287
Phone
(516) 732-9438
Fax
(631) 270-4608
NPI assigned
Nov 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X RP02433-1 NY Primary
Clinical Social Worker 1041C0700X RP02433-1 NY
Marriage & Family Therapist 106H00000X RP02433-1 NY

Addresses

Primary practice location

1127 Avalon Court Dr
Melville, NY 11747-4287

Mailing address

1127 Avalon Court Dr
Melville, NY 11747-4287
Phone (516) 732-9438

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
I20140220000918 NY Practitioner - Clinical Social Worker 8123258068 Practice locations: Port Jefferson, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

646 Main St
Suite 14
Port Jefferson, NY 11777-2230
Phone (631) 648-3177

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RP02433-1NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1104905470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1127 AVALON COURT DR",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117474287",
            "telephone_number": "516-732-9438",
            "fax_number": "631-270-4608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1127 AVALON COURT DR",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117474287",
            "telephone_number": "516-732-9438",
            "fax_number": "631-270-4608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIGILIO",
        "first_name": "PETER",
        "name_prefix": "Mr.",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "RP02433-1",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "RP02433-1",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NY",
            "license": "RP02433-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melville, NY

Sources for this page

Verify at the official NPI Registry.