Vivian Elizabeth Bugaoan, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R013996-1 Issued in NY

Practice address

79 Middleville Rd
Vamc SWS Northport (122)
Northport, NY 11768-2200

Phone

(631) 261-4400

Fax

(631) 266-7029

NPI assigned

Aug 24, 2006

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225145154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 S BAY DR",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117588411",
            "telephone_number": "516-541-9691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 MIDDLEVILLE RD",
            "address_2": "VAMC SWS NORTHPORT (122)",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "117682200",
            "telephone_number": "631-261-4400",
            "fax_number": "631-266-7029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUGAOAN",
        "first_name": "VIVIAN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R013996-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colleen Anne Britton, MSW
• Melanie Lynn Brodsky, L.C.S.W.
• Wendy Maureen Brofman, RN
• Eric Bruno
• Janine Buchanan, MS, RD, CDN, CDCES
• Carole Buoniello, P.T., DPT
• Louise Beatrice Burns, APRN-BC
• William E. Burns Jr., P.T.
• Allan George Bush, M.D.
• Peter G Butera, DO

• All providers in Northport, NY
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.