Justine Cicerale

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

096437 Issued in NY

Practice address

667 Stoneleigh Ave Ste 202
Carmel, NY 10512-2455

Phone

(845) 706-2617

NPI assigned

Oct 3, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Justine Macisaac Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1727913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1790504116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 CAUSEWAY PARK",
            "city": "CARMEL",
            "state": "NY",
            "postal_code": "105124042",
            "telephone_number": "845-706-2617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "667 STONELEIGH AVE STE 202",
            "city": "CARMEL",
            "state": "NY",
            "postal_code": "105122455",
            "telephone_number": "845-706-2617"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "31 Causeway Park",
            "address_purpose": "LOCATION",
            "city": "Carmel",
            "state": "NY",
            "postal_code": "105124042",
            "country_code": "US",
            "telephone_number": "845-706-2617",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CICERALE",
        "first_name": "JUSTINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-03",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "096437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUSTINE",
            "last_name": "MACISAAC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Neeta Chitkara, M.D.
• Ali Choudhary, MD
• Subbarao Choudry, M.D.
• Caitlyn Christiana, MSW
• Lisa Rose Ciarlo, M.S, CCC-SLP
• Melissa Erasma Cintron-Arroyo, LCSW
• Melissa Renee Cioffi, P.T.
• Barbara G Circle, LMSW
• Kathleen Stiller Cirigliano, RN
• Maria Clear

• Clinical Social Worker in Carmel, NY
• Providers in Carmel, 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 Oct 3, 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.

Verify at the official NPI Registry.