Active NPI
Anne M. Virgilio, L.C.S.W.
- Clinical Social Worker
- Bellport, NY
National Provider Identifier
1114003134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R049326-1
- Practice address
- 10 Station CT
Bellport, NY 11713-2453 - Phone
- (631) 286-5710
- Fax
- (631) 286-5720
- NPI assigned
- Oct 31, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | R049326-1 | NY | Primary |
Addresses
Primary practice location
10 Station CT
Bellport, NY 11713-2453
Mailing address
17 Woodhollow Rd.
P.O. Box 584
Great River, NY 11739-0584
Phone (631) 581-3194
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 049326 | Other | NY | HIP HEALTH PLAN |
| 127125 | Other | NY | VYTRA PROVIDER NUMBER |
| 2065197 | Other | NY | CIGNA PROVIDER NUMBER |
| 6259678 | Other | NY | UNITED BEHAVIORAL HEALTH |
| 7481809 | Other | NY | GHI PROVIDER NUMBER |
| 158830 | Other | NY | VALUEOPTIONS PROVIDER NUM |
| P2550205 | Other | NY | OXFORD HEALTH PLAN |
| 02237034 | Medicaid | NY | |
| 7648536 | Other | NY | AETNA PROVIDER NUMBER |
Other names 1
- Anne M. McGreal
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R049326-1 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1114003134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 WOODHOLLOW RD.",
"address_2": "P.O. BOX 584",
"city": "GREAT RIVER",
"state": "NY",
"postal_code": "117390584",
"telephone_number": "631-581-3194",
"fax_number": "631-286-5720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 STATION CT",
"city": "BELLPORT",
"state": "NY",
"postal_code": "117132453",
"telephone_number": "631-286-5710",
"fax_number": "631-286-5720"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIRGILIO",
"first_name": "ANNE",
"middle_name": "M.",
"credential": "L.C.S.W.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-31",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R049326-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIP HEALTH PLAN",
"identifier": "049326",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VYTRA PROVIDER NUMBER",
"identifier": "127125",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA PROVIDER NUMBER",
"identifier": "2065197",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED BEHAVIORAL HEALTH",
"identifier": "6259678",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI PROVIDER NUMBER",
"identifier": "7481809",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUEOPTIONS PROVIDER NUM",
"identifier": "158830",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD HEALTH PLAN",
"identifier": "P2550205",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02237034",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PROVIDER NUMBER",
"identifier": "7648536",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ANNE",
"last_name": "MCGREAL",
"middle_name": "M.",
"credential": "L.C.S.W.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Bellport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.