Active NPI
Jacqueline Porcelli, LCSW
- Clinical Social Worker
- Holtsville, NY
National Provider Identifier
1932441755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 080445-1
- Practice address
- 18 Lindsey CT
Holtsville, NY 11742-2253 - Phone
- (631) 889-3228
- NPI assigned
- Mar 19, 2013
- 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 | 080445-1 | NY | Primary |
Addresses
Primary practice location
18 Lindsey CT
Holtsville, NY 11742-2253
Mailing address
18 Lindsey CT
Holtsville, NY 11742-2253
Phone (631) 889-3228
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00393339 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 080445-1 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787616000000",
"number": "1932441755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 LINDSEY CT",
"city": "HOLTSVILLE",
"state": "NY",
"postal_code": "117422253",
"telephone_number": "631-889-3228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 LINDSEY CT",
"city": "HOLTSVILLE",
"state": "NY",
"postal_code": "117422253",
"telephone_number": "631-889-3228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORCELLI",
"first_name": "JACQUELINE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-03-19",
"last_updated": "2026-08-25",
"certification_date": "2026-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "080445-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00393339",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Holtsville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.