Individual provider Active NPI

Raymond Dicioccio, LCSW

  • Clinical Social Worker
  • Croton on Hudson, NY
National Provider Identifier
1538420690
Registry record updated Feb 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R056534 Issued in NY
Practice address
18 Morningside Dr
Croton on Hudson, NY 10520-2807
Phone
(914) 261-6941
NPI assigned
Jun 6, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X R056534 NY Primary

Addresses

Primary practice location

18 Morningside Dr
Croton on Hudson, NY 10520-2807

Mailing address

18 Morningside Dr
Croton on Hudson, NY 10520-2807
Phone (914) 261-6941

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20120628000279 NY Practitioner - Clinical Social Worker 2769647536 Practice locations: Croton on Hudson, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

18 Morningside Dr
Croton on Hudson, NY 10520-2807
Phone (914) 261-6941

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R056534NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1338940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677110400000",
    "number": "1538420690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 MORNINGSIDE DR",
            "city": "CROTON ON HUDSON",
            "state": "NY",
            "postal_code": "105202807",
            "telephone_number": "914-261-6941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 MORNINGSIDE DR",
            "city": "CROTON ON HUDSON",
            "state": "NY",
            "postal_code": "105202807",
            "telephone_number": "914-261-6941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICIOCCIO",
        "first_name": "RAYMOND",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-06",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R056534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Croton on Hudson, NY

Sources for this page

Verify at the official NPI Registry.