Individual provider Active NPI

Michael Limongelli, LCSW

  • Clinical Social Worker
  • Bronx, NY
National Provider Identifier
1275672149
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R059178-1 Issued in NY
Practice address
2880 Baisley Ave
Bronx, NY 10461-6117
Phone
(917) 612-5909
Fax
(718) 863-4765
NPI assigned
Feb 6, 2007
Sex
Male
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 R059178-1 NY Primary

Addresses

Primary practice location

2880 Baisley Ave
Bronx, NY 10461-6117

Mailing address

3281 Old Yorktown Rd
Yorktown Heights, NY 10598-2331
Phone (917) 612-5909

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

LicenseStateTypeSpecialty
R059178-1NYMDClinical Social Worker
059178NYMDOrthodontics and Dentofacial Orthopedic Dentist

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275672149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3281 OLD YORKTOWN RD",
            "city": "YORKTOWN HEIGHTS",
            "state": "NY",
            "postal_code": "105982331",
            "telephone_number": "917-612-5909",
            "fax_number": "718-863-4765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2880 BAISLEY AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104616117",
            "telephone_number": "917-612-5909",
            "fax_number": "718-863-4765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIMONGELLI",
        "first_name": "MICHAEL",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R059178-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • 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.