Active NPI
Jessica Pizzo, MSW STUDENT
- Social Worker
- Brooklyn, NY
National Provider Identifier
1104165448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 600 Lafayette Ave
4TH Floor
Brooklyn, NY 11216-1020 - Phone
- (718) 475-9417
- Fax
- (718) 483-9287
- NPI assigned
- Feb 6, 2013
- Sex
- Female
- Sole proprietor
- No
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 | Primary |
Addresses
Primary practice location
600 Lafayette Ave
4TH Floor
Brooklyn, NY 11216-1020
Mailing address
600 Lafayette Ave
4TH Floor
Brooklyn, NY 11216-1020
Phone (718) 475-9417
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03505424 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jun 3, 2026 through Jun 3, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360108800000",
"number": "1104165448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 LAFAYETTE AVE",
"address_2": "4TH FLOOR",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112161020",
"telephone_number": "718-475-9417",
"fax_number": "718-483-9287"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 LAFAYETTE AVE",
"address_2": "4TH FLOOR",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112161020",
"telephone_number": "718-475-9417",
"fax_number": "718-483-9287"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIZZO",
"first_name": "JESSICA",
"credential": "MSW STUDENT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-02-06",
"last_updated": "2013-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03505424",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.