Active NPI
Jenna Marie Catalo, LMSW
- Social Worker
- Pearl River, NY
National Provider Identifier
1013652908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 112980
- Practice address
- 51 Oldert Dr
Pearl River, NY 10965-2928 - Phone
- (845) 825-9777
- NPI assigned
- May 4, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 112980 | NY | Primary |
Addresses
Primary practice location
51 Oldert Dr
Pearl River, NY 10965-2928
Mailing address
51 Oldert Dr
Pearl River, NY 10965-2928
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 112980 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697587200000",
"number": "1013652908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "51 OLDERT DR",
"city": "PEARL RIVER",
"state": "NY",
"postal_code": "109652928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51 OLDERT DR",
"city": "PEARL RIVER",
"state": "NY",
"postal_code": "109652928",
"telephone_number": "845-825-9777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CATALO",
"first_name": "JENNA",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-05-04",
"last_updated": "2023-10-18",
"certification_date": "2023-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "112980",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pearl River, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.