Livia Polise, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

045860 Issued in NY

Practice address

175 Nassau Rd
Roosevelt, NY 11575-2016

Phone

(516) 623-1644

Fax

(516) 623-3125

NPI assigned

Jan 9, 2007

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

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.

• Family and Children'S Association - Linkage

  • Mental Health Counselor
  • Garden City, NY
  • NPI 1164187449
  NPD (past)

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283904000000",
    "number": "1891844205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "991 KINGS PKWY",
            "city": "NORTH BALDWIN",
            "state": "NY",
            "postal_code": "115102106",
            "telephone_number": "516-728-4969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 NASSAU RD",
            "city": "ROOSEVELT",
            "state": "NY",
            "postal_code": "115752016",
            "telephone_number": "516-623-1644",
            "fax_number": "516-623-3125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLISE",
        "first_name": "LIVIA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2010-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "045860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna Picerni
• Crispin Pierre
• Jeoan Pierre
• Kia Monette Pinheiro, NP
• Joshua Pinto
• Tasheena Price
• Paola Andrea Puig, MPH, RD, CDE, CD-N
• Ivette Ramos
• Kaitlyn Emily Rapp, DOT, OTR/L
• Jihane Real, FNP

• Clinical Social Worker in Roosevelt, NY
• Providers in Roosevelt, 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 Sep 8, 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.