Active NPI
Jaclyn Passero, LCSW
- Clinical Social Worker
- Rochester, NY
National Provider Identifier
1710945803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 023287
- Practice address
- 2190 Culver Rd
Rochester, NY 14609-2746 - Phone
- (585) 339-9150
- Fax
- (585) 339-9150
- NPI assigned
- May 1, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 023287 | NY | Primary |
Addresses
Primary practice location
2190 Culver Rd
Rochester, NY 14609-2746
Mailing address
2190 Culver Rd
Rochester, NY 14609-2746
Phone (585) 339-9150
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P010023278 | Other | NY | BLUE CROSS BLUE SHIELD |
| 102044FK | Other | NY | PREFERRED CARE |
| 7741364 | Other | TX | AETNA |
| 1095227 | Other | MN | CIGNA BEHAVIORAL HEALTH |
| P010023278 | Other | NY | MONROE PLAN |
| P010023278 | Other | NY | BLUE CHOICE |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 023287 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710720000000",
"number": "1710945803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2190 CULVER RD",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146092746",
"telephone_number": "585-339-9150",
"fax_number": "585-339-9150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2190 CULVER RD",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146092746",
"telephone_number": "585-339-9150",
"fax_number": "585-339-9150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PASSERO",
"first_name": "JACLYN",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-01",
"last_updated": "2024-03-18",
"certification_date": "2024-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "023287",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "P010023278",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED CARE",
"identifier": "102044FK",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7741364",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA BEHAVIORAL HEALTH",
"identifier": "1095227",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MONROE PLAN",
"identifier": "P010023278",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHOICE",
"identifier": "P010023278",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.