Individual provider · Type 1 NPI

Peter Vigliotta, LCSW

Clinical Social Worker · Bay Shore, NY

NPI number 1356306880 Active

Practice location

1855 Union Blvd
Bay Shore, NY 11706-7949

Call (631) 580-9364 Map

Fax (631) 580-9365

Mailing address

90 Diamond St
Ronkonkoma, NY 11779-2125

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XR040667-1 (NY)

Clinical Social Worker: 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 interpers…

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About NPI 1356306880

Peter Vigliotta, LCSW's National Provider Identifier is 1356306880, issued on Apr 18, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bay Shore, NY. The record was last updated on Jul 13, 2026.