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CASSANDRA L IADICICCO
NPI 1871210575
Counselor - Mental Health in Staten Island, NY

Active since October 24, 2022PECOS Enrolled
14 SLOSSON TER, STATEN ISLAND, NY 10301(718) 273-8409 Get Directions Write a Review

NPPES record last updated: October 24, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Cassandra L Iadicicco NPPES

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

CASSANDRA L IADICICCO (NPI 1871210575) is an individual mental health provider in Staten Island, New York and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1871210575
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameCASSANDRA L IADICICCO
Location Address14 SLOSSON TERStaten Island, NY 10301-2507
Mailing Address14 Slosson TerStaten Island, NY 10301-2507 · (718) 273-8409
Phone(718) 273-8409
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateOctober 24, 2022
NPPES CertifiedOctober 24, 2022
✔ NPI 1871210575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
14 SLOSSON TER, Staten Island, NY 10301
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cassandra L Iadicicco is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6800375775
PECOS Enrollment IDI20260210003879
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.

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.

MICHELLE LOUISE BOSCO L.M.S.W.
Social Worker (Clinical)
14 SLOSSON TER
STATEN ISLAND, NY 10301
Richmond County (718) 720-6727
MISS AMY MAZZARISI LMHC
Counselor (Mental Health)
14 SLOSSON TER
STATEN ISLAND, NY 10301
Richmond County (718) 273-8409
RICHARD RIVERA L.M.S.W.
Social Worker (Clinical)
14 SLOSSON TER
STATEN ISLAND, NY 10301
Richmond County (718) 720-6727
ALEJANDRA MORENO LMSW
Social Worker
14 SLOSSON TER
STATEN ISLAND, NY 10301
Richmond County (718) 273-8409
FOLUSO O OTUYELU LCSW
Social Worker (Clinical)
14 SLOSSON TER
STATEN ISLAND, NY 10301
Richmond County (718) 720-6727
SHIRLEY A MCQUEEN L.C.S.W.
Social Worker
14 SLOSSON TER
STATEN ISLAND, NY 10301
Richmond County (718) 720-6727
ANN MCHUGH LMSW
Social Worker
14 SLOSSON TER
STATEN ISLAND, NY 10301
Richmond County (718) 273-8409
MISS DEBORA A HERNANDEZ I LMSW
Social Worker
14 SLOSSON TER
STATEN ISLAND, NY 10301
Richmond County (718) 273-0850

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 Cassandra Iadicicco's NPI number?

The NPI number for Cassandra Iadicicco is 1871210575. It was assigned to this individual provider in the NPPES registry on October 24, 2022.

Where is Cassandra Iadicicco located?

Cassandra Iadicicco practices at 14 Slosson Ter, Staten Island, NY 10301. The listed phone number is (718) 273-8409.

What is Cassandra Iadicicco's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Cassandra Iadicicco enrolled in Medicare?

Yes. Cassandra Iadicicco is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Cassandra Iadicicco was last updated on October 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.