MEDICARE: MR. THOMAS G LAGALANTE LCSW

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	100154	NY
2	104100000X	Social Worker	114183	NY

General Provider Information

NPI Number	:	1689338352
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. THOMAS G LAGALANTE LCSW

Provider Business Mailing Address
First Line	:	7531 113TH ST APT G1
Second Line	:
City	:	FOREST HILLS
State	:	NY
Zip	:	11375-5508
Country	:	US
Telephone Number	:	516-206-4229
Fax Number	:

Provider Business Practice Location Address
First Line	:	7531 113TH ST APT G1
Second Line	:
City	:	FOREST HILLS
State	:	NY
Zip	:	11375-5508
Country	:	US
Telephone Number	:	516-206-4229
Fax Number	:

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

Provider Enumeration Date	:	10/28/2021
Last Update Date	:	02/22/2026

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