Individual provider Active NPI

Edward M. Bacigalupo, LCSW

  • Clinical Social Worker
  • Harrison, NY
National Provider Identifier
1184633588
Registry record updated Aug 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
076976 Issued in NY
Practice address
275 North St
Suite G514
Harrison, NY 10528-1140
Phone
(917) 886-5284
NPI assigned
Aug 5, 2006
Last updated
Aug 9, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 007257 CT
Clinical Social Worker 1041C0700X 076976 NY Primary

Addresses

Primary practice location

275 North St
Suite G514
Harrison, NY 10528-1140

Mailing address

6 Glenville Rd
New Fairfield, CT 06812-3737
Phone (917) 886-5284

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180726001659 NY Practitioner - Clinical Social Worker 2264789940 Reassigns benefits to 1 organization
I20191219002622 CT Practitioner - Clinical Social Worker 2264789940 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Challenging Minds LLCGroup PAC ID 9830429794, 7 clinicians

Practice addresses (Care Compare)

30 Peck Rd
Suite 1202
Torrington, CT 06790-6123
Phone (860) 361-6204

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007257CTMDClinical Social Worker
7257CTMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Step Up Care PC LLC Clinical CurrentSince Nov 5, 2019 Accepting new patients
Family Services, Inc. Clinical CurrentSince Mar 23, 2019 Accepting new patients
Challenging Minds LLC CurrentSince Jun 23, 2023 Accepting new patients

Locations

30 Peck Rd
Ste 1202
Torrington, CT 06790
Phone (860) 294-4481

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

27 Randolph Rd
#A
Howell, NJ 07731
Phone (732) 797-9290

223 Main St
Beacon, NY 12508
Phone (845) 838-4900

7 Market St
Dover Plains, NY 12522
Phone 8458774100 ext. 206

131 County House Rd
Millbrook, NY 12545
Phone (845) 605-3542

230 North Rd
Poughkeepsie, NY 12601
Phone (845) 452-0774

29 N Hamilton St
Poughkeepsie, NY 12601
Phone (845) 452-1110

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": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376006400000",
    "number": "1184633588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 GLENVILLE RD",
            "city": "NEW FAIRFIELD",
            "state": "CT",
            "postal_code": "068123737",
            "telephone_number": "917-886-5284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 NORTH ST",
            "address_2": "SUITE G514",
            "city": "HARRISON",
            "state": "NY",
            "postal_code": "105281140",
            "telephone_number": "917-886-5284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACIGALUPO",
        "first_name": "EDWARD",
        "middle_name": "M.",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2013-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "007257",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "076976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrison, NY

Sources for this page

Verify at the official NPI Registry.