Jacqueline Perri Tasca, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

073145 Issued in NY

Practice address

41 Waldo Avenue
East Rockaway, NY 11518-1419

Phone

(516) 599-4781

NPI assigned

Nov 17, 2006

Sex

Female

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

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.

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Wonder Years Psychiatric Services PLLC

  • Child & Adolescent Psychiatry Physician
  • Brooklyn, NY
  • NPI 1972046795
  NPD (past)

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043384571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 WALDO AVENUE",
            "city": "EAST ROCKAWAY",
            "state": "NY",
            "postal_code": "115181419",
            "telephone_number": "516-599-4781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 WALDO AVENUE",
            "city": "EAST ROCKAWAY",
            "state": "NY",
            "postal_code": "115181419",
            "telephone_number": "516-599-4781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TASCA",
        "first_name": "JACQUELINE",
        "middle_name": "PERRI",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "073145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maureen Stack
• Keith Melvin Staiman, M.D
• Isabella Strull
• T.L.C. Monitoring
• Debra Taglianetti, RN
• TLC Diagnostics, LLC
• Davis Tobia Sr., MS ATC
• Brittany Ann Tommaso, OTR/L
• Lauren Joy Travis
• Nicholas Joseph Tringali

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.