Active NPI
Rachael A Pascucci
- Social Worker
- Brooklyn, NY
National Provider Identifier
1417779778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 111137-01
- Practice address
- 175 Pearl St
Brooklyn, NY 11201-7508 - Phone
- (959) 210-6800
- Fax
- (959) 210-6634
- NPI assigned
- Oct 28, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 111137-01 | NY | Primary |
Addresses
Primary practice location
175 Pearl St
Brooklyn, NY 11201-7508
Mailing address
711 Shore Rd Apt 2E
Long Beach, NY 11561-4707
Phone (631) 786-7628
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 111137-01 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730073600000",
"number": "1417779778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "711 SHORE RD APT 2E",
"city": "LONG BEACH",
"state": "NY",
"postal_code": "115614707",
"telephone_number": "631-786-7628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 PEARL ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112017508",
"telephone_number": "959-210-6800",
"fax_number": "959-210-6634"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PASCUCCI",
"first_name": "RACHAEL",
"middle_name": "A",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-10-28",
"last_updated": "2024-10-28",
"certification_date": "2024-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "111137-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.