MEDICARE: KRISTINA SCAGLIONE LCSW-R

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	088479	NY
2	104100000X	Social Worker	094701	NY

General Provider Information

NPI Number	:	1124404033
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTINA SCAGLIONE LCSW-R

Provider Business Mailing Address
First Line	:	100 MARINERS WAY # 100
Second Line	:
City	:	PORT JEFFERSON
State	:	NY
Zip	:	11777-1848
Country	:	US
Telephone Number	:	631-793-4341
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 MARINERS WAY STE 100
Second Line	:
City	:	PORT JEFFERSON
State	:	NY
Zip	:	11777-1848
Country	:	US
Telephone Number	:	631-793-4341
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/03/2015
Last Update Date	:	10/03/2025

Similar Medicare Providers

1972135481 — MS. APRIL MARIE LEE NPP
Practice Location Address:

100 MARINERS WAY STE 1
PORT JEFFERSON, NY
11777-1848

Practice Phone: 631-509-7488
Practice Fax: 631-778-8004

1194405100 — TSL MASSAGE THERAPY PC
Practice Location Address:

100 MARINERS WAY
PORT JEFFERSON, NY
11777-1848

Practice Phone: 631-991-0052
Practice Fax:

1366242273 — MINDFUL MED MANAGEMENT INC
Practice Location Address:

100 MARINERS WAY
PORT JEFFERSON, NY
11777-1848

Practice Phone: 631-991-0052
Practice Fax:

1003609827 — INTEGRATED PSYCHOTHERAPY COUNSELING LCSW, PLLC
Practice Location Address:

100 MARINERS WAY
PORT JEFFERSON, NY
11777-1848

Practice Phone: 934-246-6042
Practice Fax:

1679448054 — SUZANNE D'ADDONA LMSW
Practice Location Address:

100 MARINERS WAY
PORT JEFFERSON, NY
11777-1848

Practice Phone: 631-774-3857
Practice Fax:

1952812133 — TAYLOR CRUM LSW, LICDC
Practice Location Address:

1848 E PERRY ST STE 900
PORT CLINTON, OH
43452-1443

Practice Phone: 937-210-9736
Practice Fax:

Directions to “ KRISTINA SCAGLIONE LCSW-R” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.