Alissa J Shore Pizzutiello, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R075017-1 Issued in NY

Practice address

58-20 Little Neck Pkwy
Little Neck Samuel Field Ym-Ywha
N.Y., NY 11362

Phone

(718) 225-6750

NPI assigned

Sep 11, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Samuel Field Ym&Ywha

  • Adult Mental Health Clinic/Center
  • Little Neck, NY
  • NPI 1205862950
  NPD (past)

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

{
    "created_epoch": "1252627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252627200000",
    "number": "1598098337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58-20 LITTLE NECK PKWY",
            "address_2": "LITTLE NECK SAMUEL FIELD YM-YWHA",
            "city": "N.Y.",
            "state": "NY",
            "postal_code": "11362",
            "telephone_number": "718-225-6750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58-20 LITTLE NECK PKWY",
            "address_2": "LITTLE NECK SAMUEL FIELD YM-YWHA",
            "city": "N.Y.",
            "state": "NY",
            "postal_code": "11362",
            "telephone_number": "718-225-6750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHORE PIZZUTIELLO",
        "first_name": "ALISSA",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-11",
        "last_updated": "2009-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R075017-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Antonia Rogado Sepulveda, M.D.
• Faith J Sheiber, PH.D.
• Irina Shendrik, FNP
• Gary Jay Sherman, DPM.,FACFAS
• Rosalyn Mona Sherman, PHD
• Ellen Shumsky, LCSW
• Tina M Shure, PHARM. D
• Alicia Sidlo, DPT
• Judy Ellen Silberstein, LCSW
• Yael Silverberg-Urian, CNM

• Clinical Social Worker in N.Y., NY
• Providers in N.Y., 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 Sep 11, 2009; 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.