Alexandria Gianetti, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05634500 Issued in NJ

Practice address

100 Hollister Rd
Teterboro, NJ 07608-1148

Phone

(201) 498-9140

Fax

(201) 498-9144

NPI assigned

Mar 30, 2015

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 16, 2015.

{
    "created_epoch": "1427673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444953600000",
    "number": "1346635166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HOLLISTER RD",
            "city": "TETERBORO",
            "state": "NJ",
            "postal_code": "076081148",
            "telephone_number": "201-498-9140",
            "fax_number": "201-498-9144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HOLLISTER RD",
            "city": "TETERBORO",
            "state": "NJ",
            "postal_code": "076081148",
            "telephone_number": "201-498-9140",
            "fax_number": "201-498-9144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIANETTI",
        "first_name": "ALEXANDRIA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-30",
        "last_updated": "2015-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL05726700",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05634500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leza N Gallo, M.D.
• Celeste Garcia, MA
• David Garcia
• Grazyna Gawryluk
• Marina Gerber, MD
• Anupama Gupta, M.D.
• Christine Holl, BA
• Shauna Nicole Huber
• Stephanie M Hunter
• Infinity Diagnostics Laboratory, Inc

• All providers in Teterboro, NJ
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2015; 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.