Jennifer M. Sackett, LCSW-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R079279-1 Issued in NY

Practice address

1157 Willis Ave Ste 6
Albertson, NY 11507-1219

Phone

(516) 448-4525

NPI assigned

Mar 6, 2012

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

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

State licenses

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.

• Long Island Psychological Services PLLC

  • Psychologist
  • Garden City, NY
  • NPI 1073666574
  Medicare reassignment NPD
• Long Island Psychological Services Company

  • Clinical Psychologist
  • Garden City, NY
  • NPI 1386728566
  NPD (past)
• Visiting Counselors, LCSW, PLLC

  • Clinical Social Worker
  • Melville, NY
  • NPI 1134605595
  NPD (past)

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

{
    "created_epoch": "1330992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523750400000",
    "number": "1134493364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 SOUND BEACH AVE",
            "city": "BAYVILLE",
            "state": "NY",
            "postal_code": "117092325",
            "telephone_number": "516-448-4525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1157 WILLIS AVE STE 6",
            "city": "ALBERTSON",
            "state": "NY",
            "postal_code": "115071219",
            "telephone_number": "516-448-4525"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Tyburn Ln",
            "address_purpose": "LOCATION",
            "city": "South Setauket",
            "state": "NY",
            "postal_code": "117201428",
            "country_code": "US",
            "telephone_number": "516-448-4525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SACKETT",
        "first_name": "JENNIFER",
        "middle_name": "M.",
        "credential": "LCSW-R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-06",
        "last_updated": "2018-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R079279-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Romano, SLP
• Lenore Rosenberg, CSW
• RT General Services Group Inc
• Melissa Beth Rubin, PHARMD
• Robin Jill Sacharoff, OTR
• Nathaniel Saintus, DNP, AGACNP-BC, FNP
• Finny K Samuel, RPH
• Linda Samuel
• Sunita Samuel
• Christina Elizabeth Schimmel

• Clinical Social Worker in Albertson, NY
• Providers in Albertson, 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 Apr 15, 2018; 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.