Individual provider Active NPI

Rosa Maria Li Vigni, LISW-CP

  • Clinical Social Worker
  • Clover, SC
National Provider Identifier
1639815178
Registry record updated May 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
14481 Issued in SC
Practice address
1120 Amesbury CT
Apt. 207
Clover, SC 29710-0498
Phone
(917) 751-3260
NPI assigned
May 9, 2022
Last updated
May 9, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2022

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 14481 SC Primary

Addresses

Primary practice location

1120 Amesbury CT
Apt. 207
Clover, SC 29710-0498

Mailing address

1120 Amesbury CT
Apt. 207
Clover, SC 29710-0498
Phone (917) 751-3260

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20240919003598 SC Practitioner - Mental Health Counselor 9436690229 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Family Services CurrentSince Sep 6, 2024 Accepting new patients
Real Connections Counseling and Wellness LLC Past Accepting new patients

Locations

508 Bethel St
Clover, SC 29710
Phone (803) 526-5227

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, 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": "1652054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652054400000",
    "number": "1639815178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 AMESBURY CT",
            "address_2": "APT. 207",
            "city": "CLOVER",
            "state": "SC",
            "postal_code": "297100498",
            "telephone_number": "917-751-3260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 AMESBURY CT",
            "address_2": "APT. 207",
            "city": "CLOVER",
            "state": "SC",
            "postal_code": "297100498",
            "telephone_number": "917-751-3260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI VIGNI",
        "first_name": "ROSA",
        "middle_name": "MARIA",
        "credential": "LISW-CP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-09",
        "last_updated": "2022-05-09",
        "certification_date": "2022-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "14481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clover, SC

Sources for this page

Verify at the official NPI Registry.