Jacqueline Socastro, LCSW-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

076954-R Issued in NY

Practice address

600 Mamaroneck Ave Ste 400
Harrison, NY 10528-1613

Phone

(917) 355-4260

NPI assigned

Feb 2, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Mar 4, 2024 through Mar 4, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1296604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1710283148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 MAMARONECK AVE STE 400",
            "city": "HARRISON",
            "state": "NY",
            "postal_code": "105281613",
            "telephone_number": "917-355-4260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 MAMARONECK AVE STE 400",
            "city": "HARRISON",
            "state": "NY",
            "postal_code": "105281613",
            "telephone_number": "917-355-4260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOCASTRO",
        "first_name": "JACQUELINE",
        "name_prefix": "Ms.",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-02",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC06086000",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "076954",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "076954-R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jatasia Smith
• Lindsay Beth Smith, LCSW
• Neil M Smoke, D.O.
• Matthew Salvatore Snyder, DO
• Shana Beth Sobel
• Sarah Sareang Soeum-Skoyles, FNP
• Melissa Sohigian
• Mark David Solomon, PH.D.
• Olga Soltis, DDS
• Isabel Erika Soriano, OTR/L

• Clinical Social Worker in Harrison, NY
• Providers in Harrison, 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 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.