Maria Lagattuta, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05437800 Issued in NJ

Practice address

655 Broadway
Paterson, NJ 07514-1923

Phone

(973) 523-0089

Fax

(973) 523-2202

NPI assigned

Feb 1, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Maria Louise Pistilli Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1454284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454284800000",
    "number": "1780042184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 BROADWAY",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075141923",
            "telephone_number": "973-523-0089",
            "fax_number": "973-523-2202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 BROADWAY",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075141923",
            "telephone_number": "973-523-0089",
            "fax_number": "973-523-2202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAGATTUTA",
        "first_name": "MARIA",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-01",
        "last_updated": "2016-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05437800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1041C0700X",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "PISTILLI",
            "middle_name": "LOUISE",
            "credential": "MSW, LSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• L.J. Greiner and Sons Inc.
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• James Labagnara, M.D.
• Ingrid Rachell Laboriel-Myrie
• Maykol Lazaro Lacorte
• Jeffrey Thomas Lake, DO
• Hayat Lakluk
• Ricardo Lalama, D.C.
• Michael Lamacchia, MD
• Leslie Ann Lamden, RN, CPBD, CPPD

• Clinical Social Worker in Paterson, NJ
• Providers in Paterson, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2016; 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.