DOMINIC JOHN CAGLIOSTRO LCSW, LADAC
NPI 1417281890
Counselor - Addiction (Substance Use Disorder) in Albuquerque, NM

Q: What is Dominic Cagliostro's NPI number?

The NPI number for Dominic Cagliostro is 1417281890. It was assigned to this individual provider in the NPPES registry on October 1, 2009.

Q: What is Dominic Cagliostro's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Active since October 01, 2009PECOS EnrolledAccepts Medicare Assignment

146 QUINCY ST NE, ALBUQUERQUE, NM 87108(505) 550-1306(844) 434-8055 Get Directions Write a Review

NPPES record last updated: March 1, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dominic John Cagliostro Lcsw, Ladac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DOMINIC JOHN CAGLIOSTRO LCSW, LADAC (NPI 1417281890) is an individual addiction (substance use disorder) provider in Albuquerque, New Mexico, licensed in New Mexico (C-09928) and active in the NPI registry since October 2009. He is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1417281890

Entity TypeIndividualMale

Primary Taxonomy101YA0400X

Provider Legal NameDOMINIC JOHN CAGLIOSTROCredential: LCSW, LADAC

Location Address146 QUINCY ST NEAlbuquerque, NM 87108-1257

Mailing Address146 Quincy St NeAlbuquerque, NM 87108-1257 · (505) 550-1306 · Fax (844) 434-8055

Phone(505) 550-1306

Fax(844) 434-8055

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateOctober 1, 2009

Last NPPES UpdateMarch 1, 2024

NPPES CertifiedMarch 1, 2024

✔ NPI 1417281890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in NM · C-09928

146 QUINCY ST NE, Albuquerque, NM 87108

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Other Identifiers 1

Medicaid19983085NM

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dominic John Cagliostro Lcsw, Ladac is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4486928819

PECOS Enrollment IDI20170925000495

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PERFECTLY IMPERFECT

Clinic/Center (Mental Health (Including Community Mental Health Center))