KAITLIN TARA GALLUCCI LMSW
NPI 1730832734
Social Worker in Newburgh, NY

Q: What is Kaitlin Gallucci's NPI number?

The NPI number for Kaitlin Gallucci is 1730832734. It was assigned to this individual provider in the NPPES registry on January 31, 2022.

Q: What is Kaitlin Gallucci'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 Kaitlin Gallucci was last updated on January 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 January 31, 2022PECOS EnrolledAccepts Medicare Assignment

21 GRAND ST, NEWBURGH, NY 12550(845) 562-7244 Get Directions Write a Review

NPPES record last updated: January 31, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kaitlin Tara Gallucci Lmsw NPPES

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

KAITLIN TARA GALLUCCI LMSW (NPI 1730832734) is an individual social worker in Newburgh, New York, licensed in New York (113763) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1730832734

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameKAITLIN TARA GALLUCCICredential: LMSW

Location Address21 GRAND STNewburgh, NY 12550-5628

Mailing Address31 Church St Apt 4New Paltz, NY 12561-1505 · (845) 706-1474

Phone(845) 562-7244

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateJanuary 31, 2022

NPPES CertifiedJanuary 31, 2022

✔ NPI 1730832734 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 · 113763

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.

21 GRAND ST, Newburgh, NY 12550

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Secondary Practice Locations 2

Location 115 Fortune Rd WMiddletown, NY 10941-1625 · Phone (845) 692-4454

Location 231 Church St Apt 4New Paltz, NY 12561-1505 · Phone (845) 706-1474

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

Kaitlin Tara Gallucci Lmsw 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 ID5597246413

PECOS Enrollment IDI20260227001756

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.

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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.

CHAVA ABRAMOVITZ

Social Worker