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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MS. JUDITH COLUCCI LCSW-R
NPI 1245364629
Social Worker - Clinical in Staten Island, NY

Active since March 15, 2007Opted out of Medicare · through Aug 15, 2026
3930 RICHMOND AVENUE SUITE 105, STATEN ISLAND, NY 10312(718) 948-3232(718) 966-6605 Get Directions Write a Review

NPPES record last updated: June 12, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Judith Colucci Lcsw-r NPPES

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

MS. JUDITH COLUCCI LCSW-R (NPI 1245364629) is an individual clinical provider in Staten Island, New York, licensed in New York (081448) and active in the NPI registry since March 2007. She has opted out of Medicare through August 15, 2026.

NPPES Registry Identity

NPI1245364629
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. JUDITH COLUCCICredential: LCSW-R
Location Address3930 RICHMOND AVENUE SUITE 105Staten Island, NY 10312
Mailing Address1015 Arden AveStaten Island, NY 10312-3622 · (917) 647-5790
Phone(718) 948-3232
Fax(718) 966-6605
Sole ProprietorYes
Enumeration DateMarch 15, 2007
Last NPPES UpdateJune 12, 2026
NPPES CertifiedJune 12, 2026
✔ NPI 1245364629 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 · 081448
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.
3930 RICHMOND AVENUE SUITE 105, Staten Island, NY 10312
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Ms. Judith Colucci Lcsw-r has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 15, 2024 through August 15, 2026.

Opt-Out Effective DateAugust 15, 2024
Opt-Out In Effect ThroughAugust 15, 2026Opt-out affidavits renew automatically every two years unless cancelled

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 Judith Colucci's NPI number?

The NPI number for Judith Colucci is 1245364629. It was assigned to this individual provider in the NPPES registry on March 15, 2007.

Where is Judith Colucci located?

Judith Colucci practices at 3930 Richmond Avenue Suite 105, Staten Island, NY 10312. The listed phone number is (718) 948-3232.

What is Judith Colucci's specialty?

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

Is Judith Colucci enrolled in Medicare?

No. Judith Colucci has opted out of Medicare through August 15, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Judith Colucci was last updated on June 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 58 days 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.