Active NPI
Denise Marie Bolognino
- Clinical Social Worker
- New York, NY
National Provider Identifier
1497307821
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 101454
- Practice address
- 767 Broadway 1255
New York, NY 10003 - Phone
- (646) 594-9518
- NPI assigned
- Jul 16, 2019
- Last updated
- Dec 12, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 101454 | NY | Primary |
Addresses
Primary practice location
767 Broadway 1255
New York, NY 10003
Mailing address
767 Broadway 1255
New York, NY 10003
Phone (646) 594-9518
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101454 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765497600000",
"number": "1497307821",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "767 BROADWAY 1255",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10003",
"telephone_number": "646-594-9518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "767 BROADWAY 1255",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10003",
"telephone_number": "646-594-9518"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOLOGNINO",
"first_name": "DENISE",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-16",
"last_updated": "2025-12-12",
"certification_date": "2025-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "101454",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.