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JENNIFER NYCOLE LIVELY-PAGLIUCA LCSW, CADC
NPI 1801358817
Social Worker in Fort Drum, NY

Active since April 01, 2019PECOS Enrolled
11050 MOUNT BELVEDRE BLVD, RM 1113, FORT DRUM, NY 13602(315) 772-2151 Get Directions Write a Review

NPPES record last updated: April 22, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 14, 2023, May 14, 2021, Nov 9, 2020 and 2 more (5 updates tracked since 2019).

About Jennifer Nycole Lively-pagliuca Lcsw, Cadc NPPES

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

JENNIFER NYCOLE LIVELY-PAGLIUCA LCSW, CADC (NPI 1801358817) is an individual social worker in Fort Drum, New York, licensed in Nevada (9561-C) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1801358817
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameJENNIFER NYCOLE LIVELY-PAGLIUCACredential: LCSW, CADC
Location Address11050 MOUNT BELVEDRE BLVD, RM 1113Fort Drum, NY 13602
Mailing Address11480 Enduring Freedom Dr.Fort Drum, NY 13602-5041 · (315) 772-4738
Phone(315) 772-2151
Sole ProprietorYes
Enumeration DateApril 1, 2019
Last NPPES UpdateApril 22, 20255 updates tracked since enumeration
NPPES CertifiedApril 15, 2025
✔ NPI 1801358817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
Licenses✔ Licensed in NV · 9561-C✔ Licensed in NV · 8013-S
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.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 00758-C (NV)
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License IC-1311 (NV), 9561-C (NV)
11050 MOUNT BELVEDRE BLVD, Fort Drum, NY 13602
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Other Names 1

Former Name (1)Jennifer Nycole Ferrizzi

Secondary Practice Locations 3

Location 17040 Laredo St Ste KLas Vegas, NV 89117-3044 · Phone (702) 331-4874 · Fax (702) 446-8034
Location 24700 Las Vegas Blvd NNellis AFB, NV 89191-6600 · Phone (702) 653-2273
Location 32851 N Tenaya Way Ste 205Las Vegas, NV 89128-0453 · Phone (702) 996-8762

Other Identifiers 3

Medicaid250002931NV
Other00758-CNV · Cadc
Other9561-CNV · Lcsw

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Nycole Lively-pagliuca Lcsw, Cadc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 Jennifer Lively-pagliuca's NPI number?

The NPI number for Jennifer Lively-pagliuca is 1801358817. It was assigned to this individual provider in the NPPES registry on April 1, 2019. The provider is also known as Jennifer Nycole Ferrizzi.

Where is Jennifer Lively-pagliuca located?

Jennifer Lively-pagliuca practices at 11050 Mount Belvedre Blvd Rm 1113, Fort Drum, NY 13602. The listed phone number is (315) 772-2151.

What is Jennifer Lively-pagliuca's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Jennifer Lively-pagliuca enrolled in Medicare?

Yes. Jennifer Lively-pagliuca is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jennifer Lively-pagliuca was last updated on April 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.