Jacqueline Maria Warren, LCSW, CASAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

5263

Practice address

245 Tilley PL
Sea Cliff, NY 11579-1019

Phone

(516) 801-0703

Fax

(516) 801-0703

NPI assigned

Oct 13, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1437249455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 TILLEY PL",
            "city": "SEA CLIFF",
            "state": "NY",
            "postal_code": "115791019",
            "telephone_number": "516-801-0703",
            "fax_number": "516-801-0703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 TILLEY PL",
            "city": "SEA CLIFF",
            "state": "NY",
            "postal_code": "115791019",
            "telephone_number": "516-801-0703",
            "fax_number": "516-801-0703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARREN",
        "first_name": "JACQUELINE",
        "middle_name": "MARIA",
        "name_prefix": "Ms.",
        "credential": "LCSW, CASAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": "5263",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R053561",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI PROVIDER NUMBER",
            "identifier": "7483569",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS PROVIDER NO",
            "identifier": "031764",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nancy Warren Van Dyke, LCSW
• Pia Theresa Viana, SLP
• Judith Voelpel, MS CCC-SLP
• Ian Wall
• Marianne F Walters, PH.D.
• Marguerite Weisberg, LCSW
• Elizabeth Anne Wezwick, MS
• Donna Davis Whelan, SLP
• Elsie Marie Witt-Bockler, M.D.
• Paul Daniel Zelenetz, MD

• Addiction (Substance Use Disorder) Counselor in Sea Cliff, NY
• Providers in Sea Cliff, NY by specialty
• Addiction (Substance Use Disorder) Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.