NPIMap

Organization Active NPI

Lisa F. Ligammari, LCSW, L.L.C.

  • Clinical Social Worker
  • Freehold, NJ
National Provider Identifier
1962863415
Registry record updated Mar 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC04616500 Issued in NJ
Legal business name
LISA F. LIGAMMARI, LCSW, L.L.C.
Practice address
90 W Main St
Freehold, NJ 07728-2144
Phone
(732) 648-6423
Fax
(732) 462-1523
NPI assigned
Mar 11, 2016
Last updated
Mar 11, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2016

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

Authorized official

Name
Lisa Fabio Ligammari, L.C.S.W,NPI 1609056274
Title
Owner/Supervisor/Clinician
Phone
(732) 648-6423

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 44SC04616500 NJ Primary

Addresses

Primary practice location

90 W Main St
Freehold, NJ 07728-2144

Mailing address

90 W Main St
Freehold, NJ 07728-2144
Phone (732) 648-6423

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160412001105 NJ Part B Supplier - Clinic/Group Practice 6608174412 Receives reassigned benefits from 2 practitioners
Practice locations: Colts Neck, NJ; Manalapan, NJ

National Provider Directory

National Provider Directory

Locations

315 State Route 34
Ste 106
Colts Neck, NJ 07722
Phone (732) 312-8858

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1457654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457654400000",
    "number": "1962863415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 W MAIN ST",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282144",
            "telephone_number": "732-648-6423",
            "fax_number": "732-462-1523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 W MAIN ST",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282144",
            "telephone_number": "732-648-6423",
            "fax_number": "732-462-1523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA F. LIGAMMARI, LCSW, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-11",
        "last_updated": "2016-03-11",
        "status": "A",
        "authorized_official_last_name": "FABIO LIGAMMARI",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER/SUPERVISOR/CLINICIAN",
        "authorized_official_telephone_number": "732-648-6423",
        "authorized_official_credential": "L.C.S.W,"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC04616500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.