Active NPI
Alicia Dellagiovanna LCSW PC
- Clinical Social Worker
- Forest Hills, NY
National Provider Identifier
1306267968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 075677
- Legal business name
- ALICIA DELLAGIOVANNA LCSW PC
- Practice address
- 11045 71St Rd
Suite 1G
Forest Hills, NY 11375-4960 - Phone
- (718) 964-7362
- Fax
- (516) 773-3695
- NPI assigned
- Dec 30, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alicia Dellagiovanna, LCSW
- Title
- President
- Phone
- (718) 964-7362
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 075677 | NY | Primary |
Addresses
Primary practice location
11045 71St Rd
Suite 1G
Forest Hills, NY 11375-4960
Mailing address
31 Knollwood Rd
Roslyn, NY 11576-1325
Phone (718) 964-7362
National Provider Directory
National Provider DirectoryLocations
11045 71st Rd
Ste 1G
Forest Hills, NY 11375
Phone (718) 964-7362
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Bronx, NY
- NPI 1144483157
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1388361600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1388361600000",
"number": "1306267968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31 KNOLLWOOD RD",
"city": "ROSLYN",
"state": "NY",
"postal_code": "115761325",
"telephone_number": "718-964-7362",
"fax_number": "516-773-3695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11045 71ST RD",
"address_2": "SUITE 1G",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113754960",
"telephone_number": "718-964-7362",
"fax_number": "516-773-3695"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALICIA DELLAGIOVANNA LCSW PC",
"organizational_subpart": "NO",
"enumeration_date": "2013-12-30",
"last_updated": "2013-12-30",
"status": "A",
"authorized_official_last_name": "DELLAGIOVANNA",
"authorized_official_first_name": "ALICIA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "718-964-7362",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "075677",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Forest Hills, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.