NPIMap

Organization Active NPI

Sallyann Ricciardi, LCSW-R,PC

  • Clinical Social Worker
  • Locust Valley, NY
National Provider Identifier
1952851164
Registry record updated Oct 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SALLYANN RICCIARDI, LCSW-R,PC
Practice address
27 The Plaza, Suite B
Locust Valley, NY 11560
Phone
(516) 674-8588
Fax
(516) 671-2580
NPI assigned
Oct 12, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2016

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

Authorized official

Name
Mrs. Sallyann Ricciardi, LCSWNPI 1306985973
Title
Owner
Phone
(516) 674-8588

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

27 The Plaza, Suite B
Locust Valley, NY 11560

Mailing address

27 The Plaza, Suite B
Locust Valley, NY 11560
Phone (516) 674-8588

Other identifiers 2

IdentifierTypeStateIssuer
NPI1306985973OtherNYMEDICARE
NT1401OtherNYMEDICARE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1476230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476230400000",
    "number": "1952851164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 THE PLAZA, SUITE B",
            "city": "LOCUST VALLEY",
            "state": "NY",
            "postal_code": "11560",
            "telephone_number": "516-674-8588",
            "fax_number": "516-671-2580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 THE PLAZA, SUITE B",
            "city": "LOCUST VALLEY",
            "state": "NY",
            "postal_code": "11560",
            "telephone_number": "516-674-8588",
            "fax_number": "516-671-2580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALLYANN RICCIARDI, LCSW-R,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-12",
        "last_updated": "2016-10-12",
        "status": "A",
        "authorized_official_last_name": "RICCIARDI",
        "authorized_official_first_name": "SALLYANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-674-8588",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "NPI1306985973",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "NT1401",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Locust Valley, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.