NICHOLAS PELLIGRA (NPI# 1902431778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902431778 |
| Entity Type | Individual |
| Full Name | NICHOLAS PELLIGRA |
| Credential | LCSW |
| Practice Address |
103 River Rd Ste 101 Edgewater NJ 07020-1016 |
| Practice Telephone | 2016062592 |
| Mailing Telephone | 2016062592 |
| Enumeration Date | 2020-03-11 |
| Last Update Date | 2020-03-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
44SC05895500 | NJ | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | STATE LICENSE | 44SC05895500 | 01 |
| Street Address |
103 RIVER RD STE 101 |
| City | EDGEWATER |
| State | NJ |
| Zip Code | 07020-1016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265877385 | Syed Mateen Ahmed | Physical Medicine & Rehabilitation | 103 River Rd Ste 101, Edgewater, NJ 07020-1016 | 2013-05-02 |
| 1275013534 | Spr Institute | Physical Medicine & Rehabilitation | 103 River Rd Ste 101, Edgewater, NJ 07020-1016 | 2018-08-16 |
| 1083134167 | Premier Pulmonology and Critical Care Medicine LLC | Internal Medicine | 103 River Rd Ste 101, Edgewater, NJ 07020-1016 | 2017-06-21 |
| 1043743891 | West Coast Health and Rehab PC | Physical Medicine & Rehabilitation | 103 River Rd Ste 101, Edgewater, NJ 07020-1016 | 2017-04-08 |
| 1720435654 | The Psych Center LLC | Counselor | 103 River Rd Ste 101, Edgewater, NJ 07020-1016 | 2016-05-20 |
| 1174906457 | Marjorie Maye Soledad Mamsaang | Internal Medicine | 103 River Rd Ste 101, Edgewater, NJ 07020-1016 | 2015-07-03 |
| 1972984060 | Brittni Mae Micham | Physical Medicine & Rehabilitation | 103 River Rd Ste 101, Edgewater, NJ 07020-1016 | 2015-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851737167 | One Hudson Medical Associates | Non-Pharmacy Dispensing Site | 1829 Hudson Park, Edgewater, NJ 07020 | 2013-05-14 |
| 1003164666 | Daisy Flores | Speech-Language Pathologist | 116 Panorama Drive, Edgewater, NJ 07020 | 2012-08-29 |
| 1518188622 | Barbara Nan Altman | Social Worker | 309 Thornton Court, Edgewater, NJ 07020 | 2007-05-02 |
| 1124173950 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 70 The Promenade Ste C5a, Edgewater, NJ 07020 | 2007-01-24 |
| 1104983717 | Edgewater Pediatrics PC | Pediatrics | 115 River Road, Suite 1003 Building #10, Edgewater, NJ 07020 | 2007-01-02 |
| 1255402293 | Skyview Dental Center LLP | Dentist | 880 River Road, 2nd Floor, Edgewater, NJ 07020 | 2006-11-13 |
| 1043228588 | Irfan Admani | Internal Medicine | 103 River Road, Edgewater, NJ 07020 | 2006-08-03 |
| 1851316319 | Duane Reade | Durable Medical Equipment & Medical Supplies | 11 Edgewater Towne Ctr, Edgewater, NJ 07020 | 2006-07-13 |
| 1679502215 | 968 River Road Radiology | Clinic/Center | 968 River Road, Edgewater, NJ 07020 | 2006-07-03 |
| 1447219191 | Corinne Jeanette Gehegan | Podiatrist | 725 River Road, Suite 201-a, Edgewater, NJ 07020 | 2006-03-21 |
| Find all providers in zip 07020 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043781123 | Lindsay Feroli | Social Worker | 3509 Pine Dr, Edgewater, MD 21037-3224 | 2018-12-16 |
| 1821568486 | Ashlee Christine Rodriguez | Social Worker | 2600 Solomons Island Rd., Edgewater, MD 21037 | 2018-11-27 |
| 1962972679 | Audra Mary Willsey | Social Worker | 3504 Rock Oak Trl, Edgewater, FL 32141-7926 | 2018-11-26 |
| 1922527258 | Judy Ann Lazarus | Social Worker | 3024 Edgewater Dr, Edgewater, MD 21037-1307 | 2017-09-19 |
| 1013456714 | Lisa Travis | Social Worker | 28 Dental Rd, Edgewater, MD 21037-2685 | 2017-02-15 |
| 1518401603 | Johanna Sanchez | Social Worker | 3601 Fontron Dr, Edgewater, MD 21037-3541 | 2016-12-08 |
| 1295289965 | Catherine Cusack | Social Worker | 11 Marquis Ct, Edgewater, NJ 07020-2900 | 2016-08-10 |
| 1386007037 | Marguerite Lipton Bronster | Social Worker | 1203 River Rd Apt 11h, Edgewater, NJ 07020-1443 | 2016-03-31 |
| 1992179055 | Lisa Bridges | Social Worker | 155 Southdown Rd, Edgewater, MD 21037-1620 | 2015-11-30 |
| 1730562935 | Taryn Toman | Social Worker | 118 Elliott Pl, Edgewater, MD 21037-4902 | 2015-07-07 |
| Find all providers in EDGEWATER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.