JESSICA A VASSALLO LCSW
NPI 1265719587
Social Worker in New York, NY

Q: What is Jessica Vassallo's NPI number?

The NPI number for Jessica Vassallo is 1265719587. It was assigned to this individual provider in the NPPES registry on November 15, 2011.

Q: What is Jessica Vassallo's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Vassallo was last updated on October 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since November 15, 2011PECOS EnrolledAccepts Medicare Assignment

109 W 27TH ST STE 5S, NEW YORK, NY 10001(833) 351-8255 Get Directions Write a Review

NPPES record last updated: October 10, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 10, 2023, Apr 7, 2022 (2 updates tracked since 2022).

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About Jessica A Vassallo Lcsw NPPES

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

JESSICA A VASSALLO LCSW (NPI 1265719587) is an individual social worker in New York, New York, licensed in New York (076502) and active in the NPI registry since November 2011. She is enrolled in Medicare PECOS, maintains a secondary practice location in Merrick, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1265719587

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameJESSICA A VASSALLOCredential: LCSW

Location Address109 W 27TH ST STE 5SNew York, NY 10001-6208

Mailing Address1889 Helen CtMerrick, NY 11566-4929 · (516) 567-7101

Phone(833) 351-8255

Sole ProprietorYes

Medical School CMSOtherGraduated 2003

Enumeration DateNovember 15, 2011

Last NPPES UpdateOctober 10, 20232 updates tracked since enumeration

NPPES CertifiedOctober 10, 2023

✔ NPI 1265719587 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in NY · 076502

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

109 W 27TH ST STE 5S, New York, NY 10001

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Secondary Practice Location 1

Location 11889 Helen CtMerrick, NY 11566-4929 · Phone (516) 567-7101

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jessica A Vassallo Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5890149926

PECOS Enrollment IDI20230923000344

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.

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.

HALLIE KNOPF MD

Psychiatry & Neurology (Psychiatry)