Active NPI
Jaime Prisco-Donati, LCSW, LMHC
- Clinical Social Worker
- Staten Island, NY
National Provider Identifier
1205384757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 077980-1
- Practice address
- 3932 Hylan Blvd
Staten Island, NY 10308-3428 - Phone
- (917) 648-6589
- NPI assigned
- Sep 13, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 000138-1 | NY | |
| Clinical Social Worker | 1041C0700X | 077980-1 | NY | Primary |
Addresses
Primary practice location
3932 Hylan Blvd
Staten Island, NY 10308-3428
Mailing address
532 Foster Rd
Staten Island, NY 10309-2254
Phone (917) 648-6589
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000138-1 | NY | MD | Mental Health Counselor |
| 077980-1 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473724800000",
"number": "1205384757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "532 FOSTER RD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103092254",
"telephone_number": "917-648-6589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3932 HYLAN BLVD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103083428",
"telephone_number": "917-648-6589"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRISCO-DONATI",
"first_name": "JAIME",
"credential": "LCSW, LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-09-13",
"last_updated": "2016-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "000138-1",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "077980-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.