Individual provider Active NPI

Alicia Dellagiovanna, LCSW

  • Clinical Social Worker
  • Little Neck, NY
National Provider Identifier
1346464948
Registry record updated Nov 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
075677-1 Issued in NY
Practice address
4516 251St St
Suite 204
Little Neck, NY 11362-1333
Phone
(516) 652-7716
NPI assigned
Apr 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2016

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 075677-1 NY Primary

Addresses

Primary practice location

4516 251St St
Suite 204
Little Neck, NY 11362-1333

Mailing address

31 Knollwood Rd
Apt. 2 L
Roslyn, NY 11576-1325
Phone (718) 964-7362

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
075677-1NYMDClinical Social Worker

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

NPI Registry JSON

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480377600000",
    "number": "1346464948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 KNOLLWOOD RD",
            "address_2": "APT. 2 L",
            "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": "4516 251ST ST",
            "address_2": "SUITE 204",
            "city": "LITTLE NECK",
            "state": "NY",
            "postal_code": "113621333",
            "telephone_number": "516-652-7716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELLAGIOVANNA",
        "first_name": "ALICIA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-13",
        "last_updated": "2016-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "075677-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Neck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2016; 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.