Individual provider Active NPI

Lisa Marie Tortorello-Gilligan, LCSW

  • Clinical Social Worker
  • Woodbridge, NJ
National Provider Identifier
1528209384
Registry record updated Jan 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05364900 Issued in NJ
Practice address
705 Amboy Ave Ste B
Woodbridge, NJ 07095-3160
Phone
(732) 609-0169
NPI assigned
Mar 9, 2009
Last updated
Jan 23, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2012

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 44SC05364900 NJ Primary

Addresses

Primary practice location

705 Amboy Ave Ste B
Woodbridge, NJ 07095-3160

Mailing address

705 Amboy Ave Ste B
Woodbridge, NJ 07095-3160
Phone (732) 609-0169

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100608000083 NJ Practitioner - Clinical Social Worker 6507996261 Practice locations: Woodbridge, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

300 Kimball St
Suite 106
Woodbridge, NJ 07095-2506
Phone (732) 609-0169

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC05364900NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lisa Tortorello Gilligan MSW LCSW LLC Clinical CurrentSince Mar 1, 2023 Accepting new patients

Locations

300 Kimball St
Ste 106
Woodbridge, NJ 07095
Phone (732) 218-8600

705 Amboy Ave
Ste B
Woodbridge, NJ 07095
Phone (732) 609-0169

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1236556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327276800000",
    "number": "1528209384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 AMBOY AVE STE B",
            "city": "WOODBRIDGE",
            "state": "NJ",
            "postal_code": "070953160",
            "telephone_number": "732-609-0169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 AMBOY AVE STE B",
            "city": "WOODBRIDGE",
            "state": "NJ",
            "postal_code": "070953160",
            "telephone_number": "732-609-0169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORTORELLO-GILLIGAN",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-09",
        "last_updated": "2012-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05364900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, NJ

Sources for this page

Verify at the official NPI Registry.