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MR. JACQUES GODFREY SQUILLACE LCSW
NPI 1740329192
Social Worker - Clinical in West Hempstead, NY

Active since February 05, 2007Opted out of Medicare · through Mar 21, 2028
659 PARK AVENUE, WEST HEMPSTEAD, NY 11552(516) 565-6146 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Jacques Godfrey Squillace Lcsw NPPES

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

MR. JACQUES GODFREY SQUILLACE LCSW (NPI 1740329192) is an individual clinical provider in West Hempstead, New York, licensed in New York (R0373851) and active in the NPI registry since February 2007. He has opted out of Medicare through March 21, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1740329192
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. JACQUES GODFREY SQUILLACECredential: LCSW
Location Address659 PARK AVENUEWest Hempstead, NY 11552-3718
Mailing Address659 Park AvenueWest Hempstead, NY 11552-3718 · (516) 565-6146
Phone(516) 565-6146
Sole ProprietorNo
Enumeration DateFebruary 5, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1740329192 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 · R0373851
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.
659 PARK AVENUE, West Hempstead, NY 11552
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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

Mr. Jacques Godfrey Squillace Lcsw 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 21, 2016 through March 21, 2028.

Opt-Out Effective DateMarch 21, 2016
Opt-Out In Effect ThroughMarch 21, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11552 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.

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 Jacques Squillace's NPI number?

The NPI number for Jacques Squillace is 1740329192. It was assigned to this individual provider in the NPPES registry on February 5, 2007.

Where is Jacques Squillace located?

Jacques Squillace practices at 659 Park Avenue, West Hempstead, NY 11552. The listed phone number is (516) 565-6146.

What is Jacques Squillace's specialty?

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

Is Jacques Squillace enrolled in Medicare?

No. Jacques Squillace has opted out of Medicare through March 21, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Jacques Squillace was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.