Jaclyn Kodosky, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

079326 Issued in NY

Practice address

2545 Hempstead Tpke Ste 105
East Meadow, NY 11554-2147

Phone

(516) 996-7040

NPI assigned

Feb 11, 2025

Sex

Female

Sole proprietor

No

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": "1739232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1043025430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 FARRELL ST",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115612620",
            "telephone_number": "516-996-7040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2545 HEMPSTEAD TPKE STE 105",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115542147",
            "telephone_number": "516-996-7040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KODOSKY",
        "first_name": "JACLYN",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-11",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "079326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill Klein
• Nadine F Klein, PA
• Rhoda Klein, MS
• Jan Alexis Kline, RN
• Elise Knauer, M.S., OTR/L
• Miriam M. Koo
• Timothy Koo, M.D.
• Kimberly Hope Korn, PMHNP
• Jason Kornrich, PHD
• Lauryn Kosturko, D.O.

• Social Worker in East Meadow, NY
• Providers in East Meadow, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; 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.