Individual provider Active NPI

Alicia Fuggetta, LMSW

  • Social Worker
  • Sayville, NY
National Provider Identifier
1609232453
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
100609 Issued in NY
Practice address
100 S Main St Ste 204
Sayville, NY 11782-3148
Phone
(631) 747-7554
NPI assigned
Jan 10, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 100609 NY Primary

Addresses

Primary practice location

100 S Main St Ste 204
Sayville, NY 11782-3148

Mailing address

18 Winthrop CT
Blue Point, NY 11715-1214
Phone (631) 747-7554

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
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
I20260114000344 VT Practitioner - Clinical Social Worker 2264918846 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
State University of New York at Stony Brook, School of Medicine, 2014
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

250 Skillman St
Suite 204
Brooklyn, NY 11205-4812

831 Bedford Ave
Suite 530
Brooklyn, NY 11205-2801

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
092534-1NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Alicia Fuggetta LCSW PLLC CurrentSince Dec 7, 2025 Accepting new patients
Modern Psychiatric Nurse Practitioner PC CurrentSince Dec 8, 2025 Accepting new patients

Locations

250 Skillman St
Ste 202
Brooklyn, NY 11205

100 S Main St
Ste 204
Sayville, NY 11782
Phone (631) 942-6921

378 Prospect St
Barre, VT 05641
Phone (802) 476-4166

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1452384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783468800000",
    "number": "1609232453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 WINTHROP CT",
            "city": "BLUE POINT",
            "state": "NY",
            "postal_code": "117151214",
            "telephone_number": "631-747-7554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S MAIN ST STE 204",
            "city": "SAYVILLE",
            "state": "NY",
            "postal_code": "117823148",
            "telephone_number": "631-747-7554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUGGETTA",
        "first_name": "ALICIA",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-10",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "100609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sayville, NY

Sources for this page

Verify at the official NPI Registry.