Individual provider Active NPI

Rosemarie Sgarlato, LCSW

  • Clinical Social Worker
  • Staten Island, NY
National Provider Identifier
1174648638
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
RO390881 Issued in NY
Practice address
1036 Victory Blvd
Staten Island, NY 10301-3622
Phone
(718) 667-0131
Fax
(718) 667-0131
NPI assigned
Mar 20, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X RO390881 NY Primary

Addresses

Primary practice location

1036 Victory Blvd
Staten Island, NY 10301-3622

Mailing address

1036 Victory Blvd
Staten Island, NY 10301-3622
Phone (718) 667-0131

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
I20040317001092 NY Practitioner - Clinical Social Worker 3870483456 Practice locations: Staten Island, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1987
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2336 Richmond Rd
Staten Island, NY 10306-2346
Phone (718) 667-0131

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RO390881NYMDClinical Social Worker
039088NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Joann Paoletti PHD Psychiatric Nurse Practitioner PLLC PastSince Sep 21, 2022 Accepting new patients
John L Cella LCSW LLC Clinical Past Accepting new patients
Silver Lake Psychotherapy Associates, PLLC Clinical Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174648638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1036 VICTORY BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103013622",
            "telephone_number": "718-667-0131",
            "fax_number": "718-667-0131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1036 VICTORY BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103013622",
            "telephone_number": "718-667-0131",
            "fax_number": "718-667-0131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SGARLATO",
        "first_name": "ROSEMARIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "RO390881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.