Maximino Larocco, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

071405 Issued in NY

Practice address

87 Farless Ave
Old Bridge, NJ 08857-1262

Phone

(917) 865-8690

NPI assigned

Dec 19, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1608336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608336000000",
    "number": "1013503416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 FARLESS AVE",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088571262",
            "telephone_number": "917-865-8690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 FARLESS AVE",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088571262",
            "telephone_number": "917-865-8690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAROCCO",
        "first_name": "MAXIMINO",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-19",
        "last_updated": "2020-12-19",
        "certification_date": "2020-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "071405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas C. Lambertson, O.D.
• Stephanie M Lance, RN
• Landa Spine Center LLC
• Wanda Landers
• Allyson Therese Larcena Tipgos, MD
• Michele Happy Cinyee Lau, D.M.D.
• Joseph Peter Laurelli, M.D.
• Donna Marie Lauro, LCSW-R
• Lawrence J Feit MD PA
• Peter Erland Lawson, L.P.C.

• Clinical Social Worker in Old Bridge, NJ
• Providers in Old Bridge, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.