Active NPI
James Daconti
- Clinical Social Worker
- Massapequa, NY
National Provider Identifier
1285159756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 088328
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 088328 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Goodman & D'Aconti, Lcsws PLLC | Clinical | Current | Accepting new patients |
| Goodman & D'Aconti, Lcsws PLLC | Clinical | Current | Accepting new patients |
| Long Island Lcsws PLLC | Past | 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.
-
- Clinical Social Worker
- Massapequa, NY
- NPI 1699382473
-
- Clinical Social Worker
- Massapequa, NY
- NPI 1316715873
-
- Community/Behavioral Health Agency
- Jericho, NY
- NPI 1992414940
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.