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JACKQUELINE ANNE MERULLA LCSW-R
NPI 1043590730
Social Worker - Clinical in Syracuse, NY

Active since August 25, 2011
404 OAK STREET STREET, SUITE 200, SYRACUSE, NY 13203(315) 703-0168(315) 299-2530 Get Directions Write a Review

NPPES record last updated: August 7, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 7, 2020, Jun 25, 2020 (2 updates tracked since 2020).

About Jackqueline Anne Merulla Lcsw-r NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACKQUELINE ANNE MERULLA LCSW-R (NPI 1043590730) is an individual clinical provider in Syracuse, New York, licensed in New York (083923-1) and active in the NPI registry since August 2011.

NPPES Registry Identity

NPI1043590730
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJACKQUELINE ANNE MERULLACredential: LCSW-R
Location Address404 OAK STREET STREET, SUITE 200Syracuse, NY 13203-2997
Mailing Address404 Oak Street Street, Suite 200Syracuse, NY 13203-2997 · (315) 703-0168 · Fax (315) 299-2530
Phone(315) 703-0168
Fax(315) 299-2530
Sole ProprietorNo
Enumeration DateAugust 25, 2011
Last NPPES UpdateAugust 7, 20202 updates tracked since enumeration
NPPES CertifiedAugust 7, 2020
✔ NPI 1043590730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NY · 083923-1
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
404 OAK STREET STREET, Syracuse, NY 13203
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Other Names 1

Former Name (1)Jackqueline Merulla Bramhall Lcsw

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jackqueline Merulla's NPI number?

The NPI number for Jackqueline Merulla is 1043590730. It was assigned to this individual provider in the NPPES registry on August 25, 2011. The provider is also known as Jackqueline Merulla Bramhall Lcsw.

Where is Jackqueline Merulla located?

Jackqueline Merulla practices at 404 Oak Street Street Suite 200, Syracuse, NY 13203. The listed phone number is (315) 703-0168.

What is Jackqueline Merulla's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

What insurance does Jackqueline Merulla accept?

Health plans from Providence Health Plan list Jackqueline Merulla as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jackqueline Merulla was last updated on August 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.