MS. JACQUELINE SOCASTRO LCSW-R
NPI 1710283148
Social Worker - Clinical in Harrison, NY

Q: What is Jacqueline Socastro's NPI number?

The NPI number for Jacqueline Socastro is 1710283148. It was assigned to this individual provider in the NPPES registry on February 2, 2011.

Q: What is Jacqueline Socastro's specialty?

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

Q: Is Jacqueline Socastro enrolled in Medicare?

No. Jacqueline Socastro has opted out of Medicare through March 4, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Active since February 02, 2011Opted out of Medicare · through Mar 4, 2028

600 MAMARONECK AVE STE 400, HARRISON, NY 10528(917) 355-4260 Get Directions Write a Review

NPPES record last updated: March 4, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 4, 2024, May 12, 2022, Jun 27, 2018 (3 updates tracked since 2018).

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About Ms. Jacqueline Socastro Lcsw-r NPPES

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

MS. JACQUELINE SOCASTRO LCSW-R (NPI 1710283148) is an individual clinical provider in Harrison, New York, licensed in New York (076954-R) and active in the NPI registry since February 2011. She has opted out of Medicare through March 4, 2028.

NPPES Registry Identity

NPI1710283148

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMS. JACQUELINE SOCASTROCredential: LCSW-R

Location Address600 MAMARONECK AVE STE 400Harrison, NY 10528-1613

Mailing Address600 Mamaroneck Ave Ste 400Harrison, NY 10528-1613 · (917) 355-4260

Phone(917) 355-4260

Sole ProprietorYes

Enumeration DateFebruary 2, 2011

Last NPPES UpdateMarch 4, 20243 updates tracked since enumeration

NPPES CertifiedMarch 4, 2024

✔ NPI 1710283148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

Licenses✔ Licensed in NY · 076954-R✔ Licensed in NJ · 44SC06086000✔ Licensed in NY · 076954

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.

600 MAMARONECK AVE STE 400, Harrison, NY 10528

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Ms. Jacqueline Socastro 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 March 4, 2024 through March 4, 2028.

Opt-Out Effective DateMarch 4, 2024

Opt-Out In Effect ThroughMarch 4, 2028Opt-out affidavits renew automatically every two years unless cancelled

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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.

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