Organization Active NPI

Alicia Dellagiovanna LCSW PC

  • Clinical Social Worker
  • Forest Hills, NY
National Provider Identifier
1306267968
Registry record updated Dec 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
075677 Issued in NY
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

Updated by the provider on Dec 30, 2013

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.