Provider Demographics
NPI:1639815178
Name:LI VIGNI, ROSA MARIA (LISW-CP)
Entity Type:Individual
Prefix:
First Name:ROSA
Middle Name:MARIA
Last Name:LI VIGNI
Suffix:
Gender:F
Credentials:LISW-CP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1120 AMESBURY CT
Mailing Address - Street 2:APT. 207
Mailing Address - City:CLOVER
Mailing Address - State:SC
Mailing Address - Zip Code:29710-0498
Mailing Address - Country:US
Mailing Address - Phone:917-751-3260
Mailing Address - Fax:
Practice Address - Street 1:1120 AMESBURY CT
Practice Address - Street 2:APT. 207
Practice Address - City:CLOVER
Practice Address - State:SC
Practice Address - Zip Code:29710-0498
Practice Address - Country:US
Practice Address - Phone:917-751-3260
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-09
Last Update Date:2022-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC144811041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical