JACLYN A. FITZPATRICK LCSW
NPI 1144565425
Social Worker - Clinical in Staten Island, NY

Q: What is Jaclyn Fitzpatrick's NPI number?

The NPI number for Jaclyn Fitzpatrick is 1144565425. It was assigned to this individual provider in the NPPES registry on November 28, 2012.

Q: What is Jaclyn Fitzpatrick's specialty?

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

Active since November 28, 2012PECOS Enrolled

777 SEAVIEW AVE, STATEN ISLAND, NY 10305(718) 668-8154 Get Directions Write a Review

NPPES record last updated: July 26, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 26, 2024, Aug 10, 2022 (2 updates tracked since 2022).

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About Jaclyn A. Fitzpatrick Lcsw NPPES

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

JACLYN A. FITZPATRICK LCSW (NPI 1144565425) is an individual clinical provider in Staten Island, New York, licensed in New York (086642) and active in the NPI registry since November 2012. She is enrolled in Medicare PECOS and maintains a secondary practice location in Staten Island.

NPPES Registry Identity

NPI1144565425

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameJACLYN A. FITZPATRICKCredential: LCSW

Location Address777 SEAVIEW AVEStaten Island, NY 10305-3409

Mailing Address777 Seaview AveStaten Island, NY 10305-3409 · (718) 668-8154

Phone(718) 668-8154

Sole ProprietorYes

Enumeration DateNovember 28, 2012

Last NPPES UpdateJuly 26, 20242 updates tracked since enumeration

NPPES CertifiedJuly 26, 2024

✔ NPI 1144565425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in NY · 086642

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.

Also ListedSocial WorkerTaxonomy 104100000X · License 084804 (NY)

777 SEAVIEW AVE, Staten Island, NY 10305

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Secondary Practice Location 1

Location 177 Chicago AveStaten Island, NY 10305-3757 · Phone (718) 442-7828

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jaclyn A. Fitzpatrick Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10305 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $67.40 – $203.53

Typical copayment $0.00 (range $16.85 – $50.88)

Most-billed visit code NA

Established Patient

$83.44 typical visit price

range $21.66 – $164.45

Typical copayment $20.86 (range $5.41 – $41.11)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. STEVEN DIDONATO RN

Registered Nurse