Individual provider Active NPI

Jocelyn Rose Pettenato, LCSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1265981153
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
14023 Issued in CT
Practice address
1280 Lexington Ave # F2
New York, NY 10028-2105
Phone
(203) 718-3826
Fax
(203) 902-2370
NPI assigned
Oct 3, 2016
Last updated
Feb 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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 090024 NY
Clinical Social Worker 1041C0700X 14023 CT Primary

Addresses

Primary practice location

1280 Lexington Ave # F2
New York, NY 10028-2105

Mailing address

1280 Lexington Ave
New York, NY 10028-2105
Phone (203) 718-3826

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20201214001792 NY Practitioner - Clinical Social Worker 8123430287 Reassigns benefits to 2 organizations
I20241204001251 CT Practitioner - Clinical Social Worker 8123430287 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellness Center of OxfordGroup PAC ID 4486996329, 6 clinicians

Practice addresses (Care Compare)

4 Corporate Dr
Suite 486
Shelton, CT 06484-6266
Phone (203) 951-1858

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Clinical CurrentSince Apr 25, 2024 Accepting new patients
Wellness Center of Oxford CurrentSince Oct 11, 2025 Accepting new patients
Mar Y Sol Mental Health Experts LLC CurrentSince Nov 6, 2024 Accepting new patients
Comprehensive Counseling LCSW, PLLC Clinical CurrentSince Jan 3, 2023 Accepting new patients

Locations

46 Federal Rd
Ste D
Danbury, CT 06810
Phone (203) 456-6969

350 Center Rock Grn
Ste 9
Oxford, CT 06478
Phone (203) 951-1858

4 Corporate Dr
Ste 186
Shelton, CT 06484
Phone (203) 327-4444

4 Corporate Dr
Ste 486
Shelton, CT 06484
Phone (203) 951-1858

2 Main St
Ste 2A
Plymouth, MA 02360

3635 Bell Blvd
Ste 203
Bayside, NY 11361
Phone (718) 504-9256

165 Broadway
Fl 23
New York, NY 10006
Phone (202) 972-4964

1 Ridge Hill Rd
Fl 3
Yonkers, NY 10710
Phone (718) 504-9256

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1475452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1265981153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1280 LEXINGTON AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100282105",
            "telephone_number": "203-718-3826",
            "fax_number": "203-902-2370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1280 LEXINGTON AVE # F2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100282105",
            "telephone_number": "203-718-3826",
            "fax_number": "203-902-2370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETTENATO",
        "first_name": "JOCELYN",
        "middle_name": "ROSE",
        "name_prefix": "Miss",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-03",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "090024",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "14023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.