Individual provider Active NPI

Geraldine Viggiani, LCSW, LCADC

  • Clinical Social Worker
  • Eatontown, NJ
National Provider Identifier
1932646981
Registry record updated Jan 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05655100 Issued in NJ
Practice address
27 Main St
Eatontown, NJ 07724-3498
Phone
(732) 440-8166
NPI assigned
Jan 30, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 37LC00245500 NJ
Clinical Social Worker 1041C0700X 44SC05655100 NJ Primary

Addresses

Primary practice location

27 Main St
Eatontown, NJ 07724-3498

Mailing address

27 Main St
Eatontown, NJ 07724-3498
Phone (732) 440-8166

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
37LC00245500NJMDAddiction (Substance Use Disorder) Counselor
44SC05655100NJMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1485734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485734400000",
    "number": "1932646981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 MAIN ST",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077243498",
            "telephone_number": "732-440-8166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 MAIN ST",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077243498",
            "telephone_number": "732-440-8166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIGGIANI",
        "first_name": "GERALDINE",
        "credential": "LCSW, LCADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-30",
        "last_updated": "2017-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00245500",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05655100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eatontown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.