Lisa Michelle Ventimiglia, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

083774 Issued in NY

Practice address

850 Main St
Holbrook, NY 11741-1604

Phone

(631) 737-7406

NPI assigned

Nov 6, 2011

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

Other names 1

• Lisa Michelle Tumbarello Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Welllife Network Inc.

  • Case Management Agency
  • Coram, NY
  • NPI 1386817906
  NPD (past)

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

{
    "created_epoch": "1320537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485475200000",
    "number": "1659658581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 MAIN ST",
            "city": "HOLBROOK",
            "state": "NY",
            "postal_code": "117411604",
            "telephone_number": "631-737-7406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 MAIN ST",
            "city": "HOLBROOK",
            "state": "NY",
            "postal_code": "117411604",
            "telephone_number": "631-737-7406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENTIMIGLIA",
        "first_name": "LISA",
        "middle_name": "MICHELLE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-06",
        "last_updated": "2017-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "083774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "TUMBARELLO",
            "middle_name": "MICHELLE",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alexander Vamos, L.AC
• Victoria Vamos, NP
• Christine Alicia Van Allen, LMSW
• Paul M Vassa, D.C.
• Sathyanarayanan Venkataraman, NUTRITIONIST, LAC
• Alexis Vera
• Niki Marie Vescio, LMHC
• Victoria Vamos, Nurse Practitioner in Family Health, P.C.
• Sarah Vignola, DDS
• Debra Ann Vitella, M.A. CCC SLP

• Clinical Social Worker in Holbrook, NY
• Providers in Holbrook, 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 Jan 27, 2017; 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.