Nicole Caputo, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

084338-1 Issued in NY

Practice address

13002 115TH Ave
South Ozone Park, NY 11420-2122

Phone

(718) 641-8933

Fax

(718) 641-8931

NPI assigned

Jan 10, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Nicole Pellegrino Former name

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": "1389312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490572800000",
    "number": "1669894655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3006 DORLON PL",
            "city": "BALDWIN",
            "state": "NY",
            "postal_code": "115104409",
            "telephone_number": "516-322-2030",
            "fax_number": "718-641-8931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13002 115TH AVE",
            "city": "SOUTH OZONE PARK",
            "state": "NY",
            "postal_code": "114202122",
            "telephone_number": "718-641-8933",
            "fax_number": "718-641-8931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPUTO",
        "first_name": "NICOLE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-10",
        "last_updated": "2017-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "087681",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "084338-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "PELLEGRINO",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Jamilet Calderon, LMHC-D
• Marcelo Eduardo Calderon, D.M.D.,P.C.
• Caringhands Physical Therapy
• Carroll Ann Mendonca PT PC
• Susan Carter
• Cath Char Nghbhd SVS Caldwell Icf
• Cecilia D Cervantes, M.D.

• Clinical Social Worker in South Ozone Park, NY
• Providers in South Ozone Park, 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 Mar 27, 2017; 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.