Jaclyn Vasaturo, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

101570 Issued in NY

Practice address

123 Ridge St
New York, NY 10002-2509

Phone

(917) 940-3385

NPI assigned

Nov 13, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1510531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1104339183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 MONTGOMERY ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100024808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 RIDGE ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100022509",
            "telephone_number": "917-940-3385"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40 Montgomery St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100024808",
            "country_code": "US",
            "telephone_number": "917-940-3385",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "166 Essex St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100021502",
            "country_code": "US",
            "telephone_number": "917-940-3385",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VASATURO",
        "first_name": "JACLYN",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-13",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CT",
            "license": "3481",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "101570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Devarshi Vasa, MD
• Ashwin Vasan, M.D.
• Neil Vasan, MD, PHD
• Prabhakar Vasan, LCSW
• Krunal Vasani, RPH
• Jennyfer Vasco
• Julianne Renee Vasconcellos, PA-C
• Grace Vasconez-Pereira, M.D., D.O.
• Denisse Vasconez, M.A. MHC
• Vascular Surgical Assoc

• Social Worker in New York, NY
• Providers in New York, 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 Mar 17, 2018; 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.