Individual provider Active NPI

Lori Devirgilio, LSW, LCADC

  • Addiction (Substance Use Disorder) Counselor
  • Howell, NJ
National Provider Identifier
1962957092
Registry record updated Aug 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
37LC00225000 Issued in NJ
Practice address
141 Friendship Rd
Howell, NJ 07731-1911
Phone
(732) 796-3549
NPI assigned
Aug 18, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2016

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 37LC00225000 NJ Primary
Social Worker 104100000X 44SL05807400 NJ

Addresses

Primary practice location

141 Friendship Rd
Howell, NJ 07731-1911

Mailing address

141 Friendship Rd
Howell, NJ 07731-1911
Phone (732) 796-3549

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
37LC00225000NJMDAddiction (Substance Use Disorder) Counselor
44SL05807400NJMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1471478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471478400000",
    "number": "1962957092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 FRIENDSHIP RD",
            "city": "HOWELL",
            "state": "NJ",
            "postal_code": "077311911",
            "telephone_number": "732-796-3549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 FRIENDSHIP RD",
            "city": "HOWELL",
            "state": "NJ",
            "postal_code": "077311911",
            "telephone_number": "732-796-3549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVIRGILIO",
        "first_name": "LORI",
        "name_prefix": "Miss",
        "credential": "LSW, LCADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-18",
        "last_updated": "2016-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00225000",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL05807400",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Howell, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.