Jacqueline Gagliano, MSW LCSW ACSW BCD

Primary specialty

Social WorkerTaxonomy code 104100000X

License

R015265 Issued in NY

Practice address

83 97 Woodhaven Blvd
Woodhaven, NY 11421

Phone

(718) 805-1833

Fax

(718) 805-1833

NPI assigned

Feb 21, 2007

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 identifiers 2

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": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221091200000",
    "number": "1740325422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 97 WOODHAVEN BLVD",
            "city": "WOODHAVEN",
            "state": "NY",
            "postal_code": "11421",
            "telephone_number": "718-805-1833",
            "fax_number": "718-805-1833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 97 WOODHAVEN BLVD",
            "city": "WOODHAVEN",
            "state": "NY",
            "postal_code": "11421",
            "telephone_number": "718-805-1833",
            "fax_number": "718-805-1833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAGLIANO",
        "first_name": "JACQUELINE",
        "name_prefix": "Ms.",
        "credential": "MSW LCSW ACSW BCD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2008-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "R015265",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SW00241800",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P1845466",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "109429",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Social Worker in Woodhaven, NY
• Providers in Woodhaven, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2008; 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.