Active NPI
Jessica Mastromarino, LMSW
- Social Worker
- Maspeth, NY
National Provider Identifier
1568316867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 092412
- Practice address
- 6062 Flushing Ave
Maspeth, NY 11378-3223 - Phone
- (646) 645-5434
- NPI assigned
- Feb 24, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | 19999834261 | NY | |
| Social Worker | 104100000X | 092412 | NY | Primary |
Addresses
Primary practice location
6062 Flushing Ave
Maspeth, NY 11378-3223
Mailing address
6062 Flushing Ave
Maspeth, NY 11378-3223
Phone (646) 645-5434
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 092412 | NY | MD | Social Worker |
| 19999834261 | NY | MD | School Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1771891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772668800000",
"number": "1568316867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6062 FLUSHING AVE",
"city": "MASPETH",
"state": "NY",
"postal_code": "113783223",
"telephone_number": "646-645-5434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6062 FLUSHING AVE",
"city": "MASPETH",
"state": "NY",
"postal_code": "113783223",
"telephone_number": "646-645-5434"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASTROMARINO",
"first_name": "JESSICA",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-02-24",
"last_updated": "2026-03-05",
"certification_date": "2026-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "NY",
"license": "19999834261",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "092412",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Maspeth, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.