Adrienne Mogavero, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

069249-1 Issued in NY

Practice address

23 Eastwood Dr
Massapequa Park, NY 11762-1410

Phone

(516) 589-0335

NPI assigned

Dec 16, 2008

Last updated

Dec 16, 2008By the provider in NPPES

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)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Long Island Infant Developmental Program, Inc.

  • Early Intervention Provider Agency
  • Merrick, NY
  • NPI 1780822791
  NPD (past)

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

{
    "created_epoch": "1229385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229385600000",
    "number": "1972748200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2174 HEWLETT AVE",
            "address_2": "SUITE 105",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115663606",
            "telephone_number": "516-546-2333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 EASTWOOD DR",
            "city": "MASSAPEQUA PARK",
            "state": "NY",
            "postal_code": "117621410",
            "telephone_number": "516-589-0335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOGAVERO",
        "first_name": "ADRIENNE",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-16",
        "last_updated": "2008-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "069249-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charlotte Messina, OTR/L
• Megan Rose Meyerback, MA SLP TSSLD
• Elyse Amy Miller, LCAT
• Sean Thomas Miller
• William Milton
• Allan Mohr, DDS
• Linda Moleta, MS
• Jennifer Ann Mollica, CCC-SLP
• Holly Moore
• Tiffany Juliana Mordente

• Clinical Social Worker in Massapequa Park, NY
• Providers in Massapequa Park, 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 Dec 16, 2008; 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.