Roxane Mongelluzzo, MSW LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW008629L Issued in PA

Practice address

416 S Pittsburgh St
Connellsville, PA 15425-4003

Phone

(724) 626-8420

Fax

(724) 628-0898

NPI assigned

Apr 22, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Koushik Mukherjee, MD

  • Psychiatry Physician
  • Pittsburgh, PA
  • NPI 1679563563
  Medicare reassignment

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.

• Connellsville Counseling & Psychological Services, LLC

  • Community/Behavioral Health Agency
  • Connellsville, PA
  • NPI 1275844789
  Medicare reassignment NPD Authorized official
• Roxane Mongelluzzo, LCSW

  • Community/Behavioral Health Agency
  • Connellsville, PA
  • NPI 1083886543
  NPD (past) Authorized official
• Connellsville Counseling & Psychological Services

  • Counselor
  • Connellsville, PA
  • NPI 1376661876
  NPD

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

{
    "created_epoch": "1145664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205193600000",
    "number": "1285690891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 S PITTSBURGH ST",
            "city": "CONNELLSVILLE",
            "state": "PA",
            "postal_code": "154254003",
            "telephone_number": "724-626-8420",
            "fax_number": "724-628-0898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 S PITTSBURGH ST",
            "city": "CONNELLSVILLE",
            "state": "PA",
            "postal_code": "154254003",
            "telephone_number": "724-626-8420",
            "fax_number": "724-628-0898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONGELLUZZO",
        "first_name": "ROXANE",
        "credential": "MSW LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-22",
        "last_updated": "2008-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW008629L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115676",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "628649",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Kathryn Mihalko
• Jessie Milliken, DO
• Caden Mitchell, RD
• Mobile Nurse Network, LLC
• Natalie Elizabeth Monaco, DDS
• Monongahela Valley Hospital, Inc.
• Amanda Elisabeth Moore, PA-C
• Lindsay Moore, LCSW, CTP
• Jennifer Morgan
• Megan Jane Morris, PMHNP

• Clinical Social Worker in Connellsville, PA
• Providers in Connellsville, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.