Christine Gattuso, LCSW PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R059551-1 Issued in NY

Legal business name

CHRISTINE GATTUSO, LCSW PLLC

Practice address

20 Milton Ave
Highland, NY 12528

Phone

(845) 392-6670

Fax

(845) 795-5850

NPI assigned

Jun 3, 2014

Last updated

Nov 21, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Christine Gattuso, LCSWRNPI 1417036609

Title

Sole Member

Phone

(845) 392-6670

Specialties & licenses 1

Addresses

Other names 1

• Christine Gattuso LCSWR Former legal business name

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Christine Gattuso, LCSW-R

  • Clinical Social Worker
  • New Paltz, NY
  • NPI 1417036609
  Medicare reassignment NPD Authorized official
• Anita Mambo, LCSW

  • Clinical Social Worker
  • New York, NY
  • NPI 1396867016
  NPD (past)

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

{
    "created_epoch": "1401753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479686400000",
    "number": "1437562816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 LATTINTOWN RD",
            "city": "MILTON",
            "state": "NY",
            "postal_code": "125475311",
            "telephone_number": "845-392-6670",
            "fax_number": "845-795-5850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 MILTON AVE",
            "city": "HIGHLAND",
            "state": "NY",
            "postal_code": "12528",
            "telephone_number": "845-392-6670",
            "fax_number": "845-795-5850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTINE GATTUSO, LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-03",
        "last_updated": "2016-11-21",
        "status": "A",
        "authorized_official_last_name": "GATTUSO",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "845-392-6670",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSWR"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R059551-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Christine Gattuso LCSWR",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Clinical Social Worker in Highland, NY
• Providers in Highland, 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 Nov 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.