Individual provider Active NPI

Antonetta Mary Ditrocchio, LMSW

  • Social Worker
  • Campbell Hall, NY
National Provider Identifier
1295527232
Registry record updated May 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
126730 Issued in NY
Practice address
5 Marge Hortons Way
Campbell Hall, NY 10916-3035
Phone
(646) 369-8028
NPI assigned
May 17, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 126730 NY Primary

Addresses

Primary practice location

5 Marge Hortons Way
Campbell Hall, NY 10916-3035

Mailing address

5 Marge Hortons Way
Campbell Hall, NY 10916-3035
Phone (646) 369-8028

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

LicenseStateTypeSpecialty
126730NYMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1747440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747440000000",
    "number": "1295527232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 MARGE HORTONS WAY",
            "city": "CAMPBELL HALL",
            "state": "NY",
            "postal_code": "109163035",
            "telephone_number": "646-369-8028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 MARGE HORTONS WAY",
            "city": "CAMPBELL HALL",
            "state": "NY",
            "postal_code": "109163035",
            "telephone_number": "646-369-8028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DITROCCHIO",
        "first_name": "ANTONETTA",
        "middle_name": "MARY",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-17",
        "last_updated": "2025-05-17",
        "certification_date": "2025-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "126730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Campbell Hall, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.