Individual provider Active NPI

Justine Pagano, LCSW

  • Clinical Social Worker
  • White Plains, NY
National Provider Identifier
1689790040
Registry record updated Aug 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R057392-1 Issued in NY
Practice address
121 Westmoreland Avenue
White Plains, NY 10606
Phone
(914) 949-9300
NPI assigned
Mar 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2022

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 R057392-1 NY Primary

Addresses

Primary practice location

121 Westmoreland Avenue
White Plains, NY 10606

Mailing address

5 Montgomery Crossway
Cortlandt Manor, NY 10567-1606
Phone (914) 965-9505

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
I20060206000118 NY Practitioner - Clinical Social Worker 0143234641 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nysarc Inc Westchester County ChapterGroup PAC ID 1759272206, 9 clinicians

Practice addresses (Care Compare)

265 Saw Mill River Rd
FL 3
Hawthorne, NY 10532-1509
Phone (914) 495-4487

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R057392-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Nysarc Inc Westchester County Chapter CurrentSince Dec 7, 2005 Accepting new patients

Locations

265 Saw Mill River Rd
Fl 3
Hawthorne, NY 10532
Phone (914) 495-4487

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660262400000",
    "number": "1689790040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 MONTGOMERY CROSSWAY",
            "city": "CORTLANDT MANOR",
            "state": "NY",
            "postal_code": "105671606",
            "telephone_number": "914-965-9505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 WESTMORELAND AVENUE",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "10606",
            "telephone_number": "914-949-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGANO",
        "first_name": "JUSTINE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R057392-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, NY

Sources for this page

Verify at the official NPI Registry.