Jacqueline M Lagrassa, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

084609 Issued in NY

Practice address

110 Draper LN Apt 3K
Dobbs Ferry, NY 10522-1011

Phone

(631) 327-7918

NPI assigned

Sep 25, 2018

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

Enrolled in NY

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Chestnut Street Psychotherapy LCSW, PLLC

  • Social Worker
  • Valley Stream, NY
  • NPI 1518747724
  Medicare reassignment NPD

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

{
    "created_epoch": "1537833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1124503222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 DRAPER LN APT 3K",
            "city": "DOBBS FERRY",
            "state": "NY",
            "postal_code": "105221011",
            "telephone_number": "631-327-7918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 DRAPER LN APT 3K",
            "city": "DOBBS FERRY",
            "state": "NY",
            "postal_code": "105221011",
            "telephone_number": "631-327-7918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAGRASSA",
        "first_name": "JACQUELINE",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-25",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "084609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven John Krupincza, BS,MS
• Unipura Krupincza
• Tatyana Krychkina, LCSW
• Alexandra Kulpa, MS, ED.
• Steven Laffer, PHD
• Sanya Lamothe
• Marc Latour
• Kelsey Lavin, PT, DPT
• Janeth Lebowitz, SA-C
• Julie Lee

• Clinical Social Worker in Dobbs Ferry, NY
• Providers in Dobbs Ferry, 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 Mar 5, 2024; 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.