Healthcare Provider Details

I. General information

NPI: 1992156806
Provider Name (Legal Business Name): JOSEPH ANDREW CERNIGLIA LMSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2016
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2750 LAUREL ST STE 301
COLUMBIA SC
29204-2038
US

IV. Provider business mailing address

2750 LAUREL ST STE 301
COLUMBIA SC
29204-2038
US

V. Phone/Fax

Practice location:
  • Phone: 803-786-1844
  • Fax:
Mailing address:
  • Phone: 803-786-1844
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number16669
License Number StateSC
# 2
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number100134
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: