Peter Vigliotta, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R040667-1 Issued in NY

Practice address

1855 Union Blvd
Bay Shore, NY 11706-7949

Phone

(631) 580-9364

Fax

(631) 580-9365

NPI assigned

Apr 18, 2006

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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.

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1356306880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 DIAMOND ST",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117792125",
            "telephone_number": "631-580-9364",
            "fax_number": "631-580-9365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 UNION BLVD",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117067949",
            "telephone_number": "631-580-9364",
            "fax_number": "631-580-9365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIGLIOTTA",
        "first_name": "PETER",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-18",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R040667-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02247547",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kendra Marie Verderosa
• Elizebeth Shibbu Verghese, RN,MSN,ANP-C
• Alyssa Verron, OTR/L
• Vestal Healthcare, LLC (Long Island Bay Shore Dialysis Center)
• Alex Vidal, M.D.
• Lisa Marie Vintaloro, OT
• Parsla Vintere, PH.D.
• Debra A Viola, LMSW
• Kyle Viola
• Christopher Violano

• Clinical Social Worker in Bay Shore, NY
• Providers in Bay Shore, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.