Active NPI
Maureen Saccio, LCSW, CASAC
- Addiction (Substance Use Disorder) Counselor
- Valley Stream, NY
National Provider Identifier
1184866782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 9270
- Practice address
- 50 W Hawthorne Ave
3Rd Floor
Valley Stream, NY 11580-6223 - Phone
- (516) 872-9698
- NPI assigned
- Mar 27, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 9270 | NY | Primary |
Addresses
Primary practice location
50 W Hawthorne Ave
3Rd Floor
Valley Stream, NY 11580-6223
Mailing address
50 W Hawthorne Ave
3Rd Floor
Valley Stream, NY 11580-6223
Phone (516) 872-9698
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 741 | Other | NY | LICENSE # RO57715 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9270 | NY | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sco Family of Services Dba Madonna Heights Service Clinic | Past | Accepting new patients |
Organizations & group practices 1
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1238112000000",
"number": "1184866782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 W HAWTHORNE AVE",
"address_2": "3RD FLOOR",
"city": "VALLEY STREAM",
"state": "NY",
"postal_code": "115806223",
"telephone_number": "516-872-9698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 W HAWTHORNE AVE",
"address_2": "3RD FLOOR",
"city": "VALLEY STREAM",
"state": "NY",
"postal_code": "115806223",
"telephone_number": "516-872-9698"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SACCIO",
"first_name": "MAUREEN",
"name_prefix": "Mrs.",
"credential": "LCSW, CASAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-27",
"last_updated": "2009-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NY",
"license": "9270",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE # RO57715",
"identifier": "741",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Valley Stream, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.