MS. JACLYN MISTRETTA LCSW
NPI 1972234649
Social Worker - Clinical in Staten Island, NY

Active since June 22, 2022PECOS EnrolledAccepts Medicare Assignment
37 OCEANIC AVE, STATEN ISLAND, NY 10312(917) 622-0114 Get Directions Write a Review

NPPES record last updated: May 6, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Jaclyn Mistretta Lcsw NPPES

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

MS. JACLYN MISTRETTA LCSW (NPI 1972234649) is an individual clinical provider in Staten Island, New York, licensed in New York (091687) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS and is a graduate of New York University School Of Medicine (2015).

NPPES Registry Identity

NPI1972234649
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. JACLYN MISTRETTACredential: LCSW
Location Address37 OCEANIC AVEStaten Island, NY 10312-6511
Mailing Address37 Oceanic AveStaten Island, NY 10312-6511 · (917) 622-0114
Sole ProprietorYes
Medical School CMSNew York University School Of MedicineGraduated 2015
Enumeration DateJune 22, 2022
Last NPPES UpdateMay 6, 2026
NPPES CertifiedMay 6, 2026
NPI 1972234649 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 · 091687 Licensed in VT · 089.0137088 Licensed in FL · SW21940
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.
37 OCEANIC AVE, Staten Island, NY 10312

Accepted Insurance

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

Ms. Jaclyn Mistretta Lcsw 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 ID1658735410
PECOS Enrollment IDI20230912002441
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10312 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 Jaclyn Mistretta's NPI number?

The NPI number for Jaclyn Mistretta is 1972234649. It was assigned to this individual provider in the NPPES registry on June 22, 2022.

Where is Jaclyn Mistretta located?

Jaclyn Mistretta practices at 37 Oceanic Ave, Staten Island, NY 10312. The listed phone number is (917) 622-0114.

What is Jaclyn Mistretta's specialty?

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

Is Jaclyn Mistretta enrolled in Medicare?

Yes. Jaclyn Mistretta is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jaclyn Mistretta accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida, Providence Health Plan and UnitedHealthcare list Jaclyn Mistretta as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jaclyn Mistretta was last updated on May 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.