Individual provider Active NPI

Vincent Patrick Androsiglio, LCSW,

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1508209545
Registry record updated Apr 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
PR017550-1 Issued in NY
Practice address
3 Sheridan SQ
9L
New York, NY 10014-6828
Phone
(646) 745-6731
NPI assigned
Apr 9, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2013

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 PR017550-1 NY Primary

Addresses

Primary practice location

3 Sheridan SQ
9L
New York, NY 10014-6828

Mailing address

38 Patterson CT
Shrewsbury, NJ 07702-4116
Phone (646) 745-6731

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
PR017550-1NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1365465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365465600000",
    "number": "1508209545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 PATTERSON CT",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024116",
            "telephone_number": "646-745-6731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 SHERIDAN SQ",
            "address_2": "9L",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100146828",
            "telephone_number": "646-745-6731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDROSIGLIO",
        "first_name": "VINCENT",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "LCSW,",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-09",
        "last_updated": "2013-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "PR017550-1",
            "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 Apr 9, 2013; 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.