Michele Gogliucci, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R047379 Issued in NY

Practice address

1000 Park Blvd
Suite 201
Massapequa Park, NY 11762-2740

Phone

(917) 284-1651

NPI assigned

Jan 21, 2011

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1295568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383609600000",
    "number": "1982909982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2533",
            "city": "SEAFORD",
            "state": "NY",
            "postal_code": "117830699",
            "telephone_number": "917-284-1651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 PARK BLVD",
            "address_2": "SUITE 201",
            "city": "MASSAPEQUA PARK",
            "state": "NY",
            "postal_code": "117622740",
            "telephone_number": "917-284-1651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOGLIUCCI",
        "first_name": "MICHELE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-21",
        "last_updated": "2013-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R047379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Joseph Giannattasio Sr., MD
• Stephanie Gillespie, OTR/L
• Corinne A Giuliani, LCSW
• Jessica Giuntini, RN
• GN Audiology PLLC
• Ann S Goldberg, LCSW
• Paul Russell Goldman, P.T.
• Adam Gottlieb
• Adam Goudreau, B.A., M.A.
• Jessica Graiser

• 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 Nov 5, 2013; 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.