Jacqueline Felicia Gallo, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

PO46702-1 Issued in NY

Practice address

239 Golden Hill LN
Kingston, NY 12401-6441

Phone

(845) 340-4000

NPI assigned

May 9, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Spectrum Psychotherapy Services LCSW PLLCGroup PAC ID 8325289192, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Spectrum Psychotherapy Services LCSW, PLLC

  • Clinical Social Worker
  • Poughkeepsie, NY
  • NPI 1255496741
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1210291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210291200000",
    "number": "1306013362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 S OHIOVILLE RD",
            "city": "NEW PALTZ",
            "state": "NY",
            "postal_code": "125614014",
            "telephone_number": "845-883-6895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 GOLDEN HILL LN",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124016441",
            "telephone_number": "845-340-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLO",
        "first_name": "JACQUELINE",
        "middle_name": "FELICIA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-09",
        "last_updated": "2008-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "PO46702-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Gage, PHARMD
• Andrea Gagnon
• Jessica Anne Gagnon
• Courtney Gallagher
• Allison Leigh Gallo, RN
• Tenaya Gallo
• Valeria Elizabeth Gallo, DPT
• Helen Rebekah Garber, FNP-BC
• Mark Garcia, P.T.
• Rhonda Garcia

• Clinical Social Worker in Kingston, NY
• Providers in Kingston, 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 May 9, 2008; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.