Active NPI
Jacquelyn Christine Nawrocki, LMSW
- Social Worker
- Geneseo, NY
National Provider Identifier
1699185504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 00070449
- Practice address
- 4600 Millennium Dr
Geneseo, NY 14454-1197 - Phone
- (585) 243-7250
- Fax
- (585) 243-7264
- NPI assigned
- Apr 30, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 00070449 | NY | Primary |
Addresses
Primary practice location
4600 Millennium Dr
Geneseo, NY 14454-1197
Mailing address
71 Eastgate Dr
Rochester, NY 14617-4136
Phone (585) 243-7250
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00070449 | Medicaid | NY |
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 |
|---|---|---|---|
| 00070449 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398816000000",
"number": "1699185504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "71 EASTGATE DR",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146174136",
"telephone_number": "585-243-7250",
"fax_number": "585-243-7264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4600 MILLENNIUM DR",
"city": "GENESEO",
"state": "NY",
"postal_code": "144541197",
"telephone_number": "585-243-7250",
"fax_number": "585-243-7264"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAWROCKI",
"first_name": "JACQUELYN",
"middle_name": "CHRISTINE",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-30",
"last_updated": "2014-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "00070449",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00070449",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Geneseo, NY
- Martha Elizabeth Mix, SLP
- Jean Barnett Mooney, PED NURSE PRACTITION
- Nichole Rose Murphy, NP
- Deborah J Murtha, MHC
- Jennifer Nasradinaj-Swift, RPH
- New York Department Education Geneseo Central School District
- Asami Newman
- Nicholas H. Noyes Memorial Hospital
- Krystol Johnston O'Rourke, M.D.
- Gloria J Osborne, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.