Active NPI
Iris Patricia Passaro, LCSW, CASAC
- Clinical Social Worker
- Syosset, NY
National Provider Identifier
1922524081
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 083095-1
- Practice address
- 6800 Jericho Tpke Ste 122W
Syosset, NY 11791-4445 - Phone
- (631) 252-3532
- NPI assigned
- Aug 20, 2017
- Last updated
- Mar 17, 2018
- 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 | 083095-1 | NY | Primary |
Addresses
Primary practice location
6800 Jericho Tpke Ste 122W
Syosset, NY 11791-4445
Mailing address
16 Long Meadow Rd
Commack, NY 11725-1764
Phone (631) 252-3532
Other practice location 1
300 Motor Pkwy
Hauppauge, NY 11788-5191
Phone (631) 252-3532
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 |
|---|---|---|---|
| 083095-1 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1922524081",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 LONG MEADOW RD",
"city": "COMMACK",
"state": "NY",
"postal_code": "117251764",
"telephone_number": "631-252-3532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6800 JERICHO TPKE STE 122W",
"city": "SYOSSET",
"state": "NY",
"postal_code": "117914445",
"telephone_number": "631-252-3532"
}
],
"practiceLocations": [
{
"address_1": "300 Motor Pkwy",
"address_purpose": "LOCATION",
"city": "Hauppauge",
"state": "NY",
"postal_code": "117885191",
"country_code": "US",
"telephone_number": "631-252-3532",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PASSARO",
"first_name": "IRIS",
"middle_name": "PATRICIA",
"credential": "LCSW, CASAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-08-20",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "083095-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Syosset, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.