MRS. JACKIE LYNN ZUCKERMAN LCSW
NPI 1568544484
Social Worker - Clinical in Baldwin, NY

Active since October 19, 2006PECOS Enrolled
3187 ANN ST, BALDWIN, NY 11510(516) 236-9111(516) 223-0332 Get Directions Write a Review

NPPES record last updated: March 6, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mrs. Jackie Lynn Zuckerman Lcsw NPPES

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

MRS. JACKIE LYNN ZUCKERMAN LCSW (NPI 1568544484) is an individual clinical provider in Baldwin, New York, licensed in New York (R031960-1) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1984).

NPPES Registry Identity

NPI1568544484
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. JACKIE LYNN ZUCKERMANCredential: LCSW
Location Address3187 ANN STBaldwin, NY 11510-4509
Mailing Address3187 Ann StBaldwin, NY 11510-4509 · (516) 236-9111 · Fax (516) 223-0332
Fax(516) 223-0332
Sole ProprietorYes
Medical School CMSOtherGraduated 1984
Enumeration DateOctober 19, 2006
Last NPPES UpdateMarch 6, 2024
NPPES CertifiedMarch 6, 2024
✔ NPI 1568544484 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 · R031960-1
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.
3187 ANN ST, Baldwin, NY 11510

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Jackie Lynn Zuckerman Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID547528226
PECOS Enrollment IDI20180102000320
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.

Medicare Billing Reassignment

Medicare enrollment records show Jackie Zuckerman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinical
3187 ANN ST
Baldwin, NY 11510
  • Reassigned Medicare billing, New York enrollment

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11510 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

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

Social Worker (Clinical)
3187 ANN ST
BALDWIN, NY 11510

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 Jackie Zuckerman's NPI number?

The NPI number for Jackie Zuckerman is 1568544484. It was assigned to this individual provider in the NPPES registry on October 19, 2006.

Where is Jackie Zuckerman located?

Jackie Zuckerman practices at 3187 Ann St, Baldwin, NY 11510. The listed phone number is (516) 236-9111.

What is Jackie Zuckerman's specialty?

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

Is Jackie Zuckerman enrolled in Medicare?

Yes. Jackie Zuckerman is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jackie Zuckerman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jackie Zuckerman reassigns Medicare benefits to L I Counseling & Social Work PC (Baldwin, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jackie Zuckerman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jackie Zuckerman was last updated on March 6, 2024. 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.