Victoria Mary Incrivaglia, L.C.S.W.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

SW002668 Issued in MO

Practice address

2200 E Sunshine St
Ste 201
Springfield, MO 65804-1819

Phone

(417) 823-0498

Fax

(417) 889-5289

NPI assigned

Sep 29, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Mercy Hospital Joplin

  • General Acute Care Hospital
  • Joplin, MO
  • NPI 1700112745
  NPD (past)
• St Johns Regional Medical Center

  • Anesthesiology Physician
  • Joplin, MO
  • NPI 1841240546
  NPD (past)

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199232000000",
    "number": "1235221920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 E SUNSHINE ST",
            "address_2": "STE 201",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658041819",
            "telephone_number": "417-823-0498",
            "fax_number": "417-889-5289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 E SUNSHINE ST",
            "address_2": "STE 201",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658041819",
            "telephone_number": "417-823-0498",
            "fax_number": "417-889-5289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INCRIVAGLIA",
        "first_name": "VICTORIA",
        "middle_name": "MARY",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-29",
        "last_updated": "2008-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "MO",
            "license": "SW002668",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MO",
            "license": "SW002668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trecia Ihrig, RN
• John T Ikenroth, CRNA
• Aleksey Illyuk, CRNA
• Imaging Miracles LC
• In Home Solutions LLC
• Infinite Senior Home Care LLC
• William M Ingemi, ATC
• Alyssa A Ingle, M.S., PLPC
• Jared Vernell Ingle, PLPC
• Mary A Ingrassia-Payan Rosales, MS, LPC

• Community/Behavioral Health Agency in Springfield, MO
• Providers in Springfield, MO by specialty
• Community/Behavioral Health Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2008; 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.