Individual provider Active NPI

Alice Rose Pisciotto, MSW PHD

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1659594810
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
PR0026871 Issued in NY
Practice address
50 Park Avenue
Suite 3H
New York, NY 10015
Phone
(212) 679-0054
Fax
(212) 685-3004
NPI assigned
Apr 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X PR0026871 NY Primary
Clinical Social Worker 1041C0700X 44SC01021200 NJ

Addresses

Primary practice location

50 Park Avenue
Suite 3H
New York, NY 10015

Mailing address

50 Park Avenue
Suite 3H
New York, NY 10016
Phone (212) 679-0054

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)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
44SC01021200NJMDClinical Social Worker
PR0026871NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659594810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 PARK AVENUE",
            "address_2": "SUITE 3H",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10016",
            "telephone_number": "212-679-0054",
            "fax_number": "212-685-3004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 PARK AVENUE",
            "address_2": "SUITE 3H",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10015",
            "telephone_number": "212-679-0054",
            "fax_number": "212-685-3004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PISCIOTTO",
        "first_name": "ALICE",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "MSW PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "PR0026871",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC01021200",
            "primary": false
        }
    ],
    "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 Jul 8, 2007; 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.