Individual provider Active NPI

Jessica Pilar Satkunasingham, LCSW

  • Clinical Social Worker
  • Massapequa, NY
National Provider Identifier
1003410119
Registry record updated Sep 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
097089 Issued in NY
Practice address
727 N Broadway Ste B1
Massapequa, NY 11758-2348
Phone
(800) 871-5491
NPI assigned
Nov 30, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 097089 NY Primary

Addresses

Primary practice location

727 N Broadway Ste B1
Massapequa, NY 11758-2348

Mailing address

625 Irving PL
North Baldwin, NY 11510-2236

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jsatkunasingham@wavelengths.hush.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250624001125 NY Order and Referring Only - Clinical Social Worker 3678085834

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
097089NYMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1606694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725148800000",
    "number": "1003410119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 IRVING PL",
            "city": "NORTH BALDWIN",
            "state": "NY",
            "postal_code": "115102236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 N BROADWAY STE B1",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117582348",
            "telephone_number": "800-871-5491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SATKUNASINGHAM",
        "first_name": "JESSICA",
        "middle_name": "PILAR",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-30",
        "last_updated": "2024-09-01",
        "certification_date": "2024-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "097089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jsatkunasingham@wavelengths.hush.com",
            "affiliation": "N",
            "endpointDescription": "Encrypted email",
            "address_1": "727 N Broadway Ste B1",
            "city": "Massapequa",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117582348",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Massapequa, NY

Sources for this page

Verify at the official NPI Registry.