Active NPI
Colin Henry Yaccarino, LMSW
- Social Worker
- Huntington, NY
National Provider Identifier
1912779349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 118900
- Practice address
- 58 Knollwood Rd
Huntington, NY 11743-1551 - Phone
- (631) 335-3315
- NPI assigned
- Oct 30, 2023
- Sex
- Male
- 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 | 118900 | NY | Primary |
Addresses
Primary practice location
58 Knollwood Rd
Huntington, NY 11743-1551
Mailing address
58 Knollwood Rd
Huntington, NY 11743-1551
Phone (631) 335-3315
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 |
|---|---|---|---|
| 118900 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698624000000",
"number": "1912779349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "58 KNOLLWOOD RD",
"city": "HUNTINGTON",
"state": "NY",
"postal_code": "117431551",
"telephone_number": "631-335-3315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "58 KNOLLWOOD RD",
"city": "HUNTINGTON",
"state": "NY",
"postal_code": "117431551",
"telephone_number": "631-335-3315"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YACCARINO",
"first_name": "COLIN",
"middle_name": "HENRY",
"name_prefix": "Mr.",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-10-30",
"last_updated": "2023-10-30",
"certification_date": "2023-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "118900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Huntington, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.