Josephine Lacerenza, M.A CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

0130007 Issued in NY

Practice address

101 Sands Point Rd
Port Washington, NY 11050-1641

Phone

(516) 767-5350

NPI assigned

Nov 28, 2011

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

Other names 1

• Miss Josephine Loiacono Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1322438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467849600000",
    "number": "1174890701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 SANDS POINT RD",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110501641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 SANDS POINT RD",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110501641",
            "telephone_number": "516-767-5350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACERENZA",
        "first_name": "JOSEPHINE",
        "name_prefix": "Mrs.",
        "credential": "M.A CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-28",
        "last_updated": "2016-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "0130007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOSEPHINE",
            "last_name": "LOIACONO",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Janis Lynn Krempa, M.ED, BCBA
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• Lyssa Brooke Lamport, MS, RDN, CDN
• Emily S Lao
• Yuri Lara, M.S. EDU

• Speech-Language Pathologist in Port Washington, NY
• Providers in Port Washington, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2016; 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.