National Provider Identifier
Alicia Louise Mongillo, LCSW
Alicia Louise Mongillo, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Rochester, NY and a listed phone number of (585) 245-4783.
Profile Overview
- NPI
- 1790259208
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- January 17, 2019
- Last Updated
- February 11, 2025
Practice Location
- 749 Merchants RD
- Rochester, NY 14609-5442
Phone: (585) 245-4783
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1790259208
- Entity Type
- Individual
- Last Name
- Mongillo
- First Name
- Alicia
- Middle Name
- Louise
- Credential
- LCSW
- Mailing Street Address
- 749 Merchants RD
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14609-5442
- Mailing Country
- US
- Mailing Phone
- (585) 245-4783
- Practice Street Address
- 749 Merchants RD
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14609-5442
- Practice Country
- US
- Practice Phone
- (585) 245-4783
- Enumeration Date
- January 17, 2019
- Last Updated
- February 11, 2025
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- February 11, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)