South Shore Counseling Services of Certified Social Workers, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

SOUTH SHORE COUNSELING SERVICES OF CERTIFIED SOCIAL WORKERS, PLLC

Doing business as

South Shore Counseling Services

Practice address

144 4TH Avenue
Bay Shore, NY 11706-7962

Phone

(631) 665-6244

Fax

(631) 968-6169

NPI assigned

Sep 8, 2005

Last updated

Jul 13, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Peter Thomas Vigliotta, LCSW

Title

Owner/Social Work Therapist

Phone

(631) 665-6244

Specialties & licenses 4

Addresses

Other identifiers 4

Other names 1

• South Shore Counseling Services Doing business as

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kerri Calimano, LMSW

  • Clinical Social Worker
  • Bay Shore, NY
  • NPI 1750443156
  NPD (past)
• Carl William Cappello, DOCTOR OF DIVINITY

  • Pastoral Counselor
  • Bay Shore, NY
  • NPI 1063606424
  NPD (past)
• Jonathan Grossman, LCSW

  • Clinical Social Worker
  • Bay Shore, NY
  • NPI 1578528667
  NPD (past)
• Marilyn N Marcus

  • Clinical Social Worker
  • Bay Shore, NY
  • NPI 1588061196
  NPD (past)

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

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436745600000",
    "number": "1871587527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 4TH AVENUE",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117067962",
            "telephone_number": "631-665-6244",
            "fax_number": "631-968-6169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 4TH AVENUE",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117067962",
            "telephone_number": "631-665-6244",
            "fax_number": "631-968-6169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH SHORE COUNSELING SERVICES OF CERTIFIED SOCIAL WORKERS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-08",
        "last_updated": "2015-07-13",
        "status": "A",
        "authorized_official_last_name": "VIGLIOTTA",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER/SOCIAL WORK THERAPIST",
        "authorized_official_telephone_number": "631-665-6244",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R046965-1",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R043922-1",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R040607-1",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02247547",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02681721",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02218862",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02246913",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Shore Counseling Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Darius Sorbi, M.D.
• Rosa Soto
• Gina Marie Sottile
• South Bay Anesthes Assoc., LLP
• South Shore Bay Shore Medical PC
• South Shore Faculty Medical Affiliates, University Faculty Practice Co
• South Shore Infectious Diseases , PC
• South Shore Psychiatric Nurse Practitioner Group
• South Shore SC, LLC
• South Shore Surgical Consulting PC

• Clinical Social Worker in Bay Shore, NY
• Providers in Bay Shore, 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 Jul 13, 2015; 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.