Joseph M. Gagliano, LCSW, P.C.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R049621-1 Issued in NY

Legal business name

JOSEPH M. GAGLIANO, LCSW, P.C.

Doing business as

Avatar Counseling Innovations

Practice address

660 Main St
Port Jefferson, NY 11777-2203

Phone

(631) 828-2592

Fax

(631) 509-1839

NPI assigned

Nov 3, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Joseph Michael Gagliano, LCSW-RNPI 1205940038

Title

President

Phone

(631) 828-2592

Specialties & licenses 1

Addresses

Other names 1

• Avatar Counseling Innovations Doing business as

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joseph M Gagliano, LCSWR

  • Social Worker
  • Port Jefferson, NY
  • NPI 1205940038
  NPD (past) Authorized official
• Anita G. Risener, LCSW-R

  • Clinical Social Worker
  • Medford, NY
  • NPI 1225106792
  NPD (past)

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

{
    "created_epoch": "1288742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288742400000",
    "number": "1750682084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 MAIN ST.",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117772203",
            "telephone_number": "631-828-2592",
            "fax_number": "631-509-1839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 MAIN ST",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117772203",
            "telephone_number": "631-828-2592",
            "fax_number": "631-509-1839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH M. GAGLIANO, LCSW, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-03",
        "last_updated": "2010-11-03",
        "status": "A",
        "authorized_official_last_name": "GAGLIANO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-828-2592",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW-R"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R049621-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avatar Counseling Innovations",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jency Johnikutty, PHARM-D
• Kerry Lynn Johnson, PA
• Cassandra Jones
• Lindsey Jones, MD
• Joseh P Boglia MD PC
• Jewel Joseph
• Tina Joseph, M.D.
• Heer H Joshi, PA-C
• Radha Joshi
• Erika M Jurasits, D.O

• Clinical Social Worker in Port Jefferson, NY
• Providers in Port Jefferson, 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 Nov 3, 2010; 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.