Individual provider Active NPI

Jessica Lynn Passero, LCSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1174133409
Registry record updated Feb 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
088066 Issued in NY
Practice address
387 Park Ave S FL 5
New York, NY 10016-8810
Phone
(800) 442-8938
NPI assigned
Aug 2, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 9406-123 WI
Clinical Social Worker 1041C0700X 088066 NY Primary

Addresses

Primary practice location

387 Park Ave S FL 5
New York, NY 10016-8810

Mailing address

387 Park Ave S FL 5
New York, NY 10016-8810
Phone (800) 442-8938

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
088066NYMDClinical Social Worker
9406-123WIMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1596326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612915200000",
    "number": "1174133409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "387 PARK AVE S FL 5",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100168810",
            "telephone_number": "800-442-8938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "387 PARK AVE S FL 5",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100168810",
            "telephone_number": "800-442-8938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASSERO",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-02",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "9406-123",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "088066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.