NICOLELYNN MARIE CARROCCIO LCSW
NPI 1548857717
Social Worker - Clinical in Camillus, NY

Active since December 22, 2020PECOS EnrolledAccepts Medicare Assignment
4914 W GENESEE ST, CAMILLUS, NY 13031(315) 832-0093 Get Directions Write a Review

NPPES record last updated: April 17, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 18, 2021, Dec 22, 2020 (2 updates tracked since 2020).

About Nicolelynn Marie Carroccio Lcsw NPPES

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

NICOLELYNN MARIE CARROCCIO LCSW (NPI 1548857717) is an individual clinical provider in Camillus, New York, licensed in New York (099768) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1548857717
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameNICOLELYNN MARIE CARROCCIOCredential: LCSW
Location Address4914 W GENESEE STCamillus, NY 13031-2374
Mailing Address4914 W Genesee StCamillus, NY 13031-2374 · (315) 832-0093
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateDecember 22, 2020
Last NPPES UpdateApril 17, 20252 updates tracked since enumeration
NPPES CertifiedApril 17, 2025
NPI 1548857717 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 · 099768
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 111245-01 (NY)
4914 W GENESEE ST, Camillus, NY 13031

Other Names 1

Professional Name (2)Mrs. Nicolelynn Marie Carroccio Lcsw

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

Nicolelynn Marie Carroccio 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 ID2860982261
PECOS Enrollment IDI20251105000537
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 13031 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 $54.87 – $166.88
Typical copayment $0.00 (range $13.71 – $41.72)
Most-billed visit code NA
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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 7

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

Social Worker (Clinical)
4914 W GENESEE ST
CAMILLUS, NY 13031
Nurse Practitioner (Psychiatric/Mental Health)
4914 W GENESEE ST
CAMILLUS, NY 13031
Social Worker (Clinical)
4914 W GENESEE ST
CAMILLUS, NY 13031
Nurse Practitioner (Psychiatric/Mental Health)
4914 W GENESEE ST
CAMILLUS, NY 13031
Nurse Practitioner (Psychiatric/Mental Health)
4914 W GENESEE ST
CAMILLUS, NY 13031
Nurse Practitioner (Psychiatric/Mental Health)
4914 W GENESEE ST
CAMILLUS, NY 13031
Chiropractor
4914 W GENESEE ST
CAMILLUS, NY 13031

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 Nicolelynn Carroccio's NPI number?

The NPI number for Nicolelynn Carroccio is 1548857717. It was assigned to this individual provider in the NPPES registry on December 22, 2020. The provider is also known as Mrs. Nicolelynn Marie Carroccio Lcsw.

Where is Nicolelynn Carroccio located?

Nicolelynn Carroccio practices at 4914 W Genesee St, Camillus, NY 13031. The listed phone number is (315) 832-0093.

What is Nicolelynn Carroccio's specialty?

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

Is Nicolelynn Carroccio enrolled in Medicare?

Yes. Nicolelynn Carroccio is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Nicolelynn Carroccio was last updated on April 17, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.