Individual provider Active NPI

James Daconti

  • Clinical Social Worker
  • Massapequa, NY
National Provider Identifier
1285159756
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
088328 Issued in NY
Practice address
727 N Broadway Ste C1
Massapequa, NY 11758-2348
Phone
(631) 606-6068
NPI assigned
Aug 7, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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 088328 NY Primary
Social Worker 104100000X 095809 NY

Addresses

Primary practice location

727 N Broadway Ste C1
Massapequa, NY 11758-2348

Mailing address

727 N Broadway Ste C1
Massapequa, NY 11758-2348
Phone (631) 606-6068

Other practice location 1

100 Duffy Ave Ste 510
Hicksville, NY 11801
Phone (631) 606-6068

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20210315000910 NY Practitioner - Clinical Social Worker 1951717164 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
088328NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Goodman & D'Aconti, Lcsws PLLC Clinical Current Accepting new patients
Goodman & D'Aconti, Lcsws PLLC Clinical CurrentSince Mar 8, 2021 Accepting new patients
Long Island Lcsws PLLC PastSince Nov 20, 2022 Accepting new patients

Locations

727 N Broadway
Ste C1
Massapequa, NY 11758
Phone (516) 243-7909

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1502064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1285159756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "727 N BROADWAY STE C1",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117582348",
            "telephone_number": "631-606-6068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 N BROADWAY STE C1",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117582348",
            "telephone_number": "631-606-6068"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Duffy Ave Ste 510",
            "address_purpose": "LOCATION",
            "city": "Hicksville",
            "state": "NY",
            "postal_code": "11801",
            "country_code": "US",
            "telephone_number": "631-606-6068",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DACONTI",
        "first_name": "JAMES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-07",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "088328",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "095809",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Massapequa, NY

Sources for this page

Verify at the official NPI Registry.