Jaclyn Beth Marro, LCSW-R, CASAC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

077336 Issued in NY

Practice address

201 Dixon Ave
Amityville, NY 11701-2832

Phone

(631) 782-6526

Fax

(631) 842-7977

NPI assigned

Oct 2, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1222905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483488000000",
    "number": "1295986719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 MICHEL AVE",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117354523",
            "telephone_number": "631-782-6523",
            "fax_number": "631-842-7977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 DIXON AVE",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117012832",
            "telephone_number": "631-782-6526",
            "fax_number": "631-842-7977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARRO",
        "first_name": "JACLYN",
        "middle_name": "BETH",
        "name_prefix": "Mrs.",
        "credential": "LCSW-R, CASAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-02",
        "last_updated": "2017-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "077336",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07200067950",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dina Marie Marabello-Palma, ATR-BC, LCAT
• Jeannemarie Margolias
• Erica Mariani, FNP
• Melanie Giselle Marinelli, LMSW
• Morgan Teal Marino, PT, DPT
• Shanequa Marshall, LPN
• Joi Marszalek, DO
• Martin P. Sherman M.D.P.C.
• Pamela Adassa Martin, REGISTERED NURSE
• Massapequa Center LLC

• Clinical Social Worker in Amityville, NY
• Providers in Amityville, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2017; 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.