MS. JACLYN DOMENICA DIMARCO LCSW
NPI 1457919177
Social Worker - Clinical in Queens Village, NY

Q: What is Jaclyn Dimarco's NPI number?

The NPI number for Jaclyn Dimarco is 1457919177. It was assigned to this individual provider in the NPPES registry on May 29, 2019.

Q: What is Jaclyn Dimarco's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jaclyn Dimarco was last updated on October 5, 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 May 29, 2019PECOS Enrolled

7925 WINCHESTER BLVD, QUEENS VILLAGE, NY 11427(718) 264-4478 Get Directions Write a Review

NPPES record last updated: October 5, 2023. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Oct 5, 2023, Dec 10, 2019, May 29, 2019 (3 updates tracked since 2019).

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About Ms. Jaclyn Domenica Dimarco Lcsw NPPES

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

MS. JACLYN DOMENICA DIMARCO LCSW (NPI 1457919177) is an individual clinical provider in Queens Village, New York, licensed in New York (096024) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Hicksville.

NPPES Registry Identity

NPI1457919177

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMS. JACLYN DOMENICA DIMARCOCredential: LCSW

Location Address7925 WINCHESTER BLVDQueens Village, NY 11427-2128

Mailing Address7925 Winchester BlvdQueens Village, NY 11427-2128 · (718) 264-4478

Phone(718) 264-4478

Sole ProprietorNo

Enumeration DateMay 29, 2019

Last NPPES UpdateOctober 5, 20233 updates tracked since enumeration

NPPES CertifiedOctober 5, 2023

✔ NPI 1457919177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in NY · 096024

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 108513 (NY)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

7925 WINCHESTER BLVD, Queens Village, NY 11427

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Secondary Practice Location 1

Location 1950 S Oyster Bay RdHicksville, NY 11801-3510 · Phone (516) 822-6111

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Jaclyn Domenica Dimarco 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 11427 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 $67.00 – $201.98

Typical copayment $0.00 (range $16.75 – $50.49)

Most-billed visit code NA

Established Patient

$82.96 typical visit price

range $21.62 – $163.52

Typical copayment $20.74 (range $5.40 – $40.88)

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.

USHA SUNILKUMAR

Registered Nurse (Psychiatric/Mental Health, Adult)