National Provider Identifier
Jaclyn Passero, LCSW
Jaclyn Passero, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Rochester, NY and a listed phone number of (585) 339-9150.
Profile Overview
- NPI
- 1710945803
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- May 01, 2006
- Last Updated
- March 18, 2024
Practice Location
- 2190 Culver RD
- Rochester, NY 14609-2746
Phone: (585) 339-9150
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1710945803
- Entity Type
- Individual
- Last Name
- Passero
- First Name
- Jaclyn
- Credential
- LCSW
- Mailing Street Address
- 2190 Culver RD
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14609-2746
- Mailing Country
- US
- Mailing Phone
- (585) 339-9150
- Mailing Fax
- (585) 339-9150
- Practice Street Address
- 2190 Culver RD
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14609-2746
- Practice Country
- US
- Practice Phone
- (585) 339-9150
- Practice Fax
- (585) 339-9150
- Enumeration Date
- May 01, 2006
- Last Updated
- March 18, 2024
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- March 18, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)
- Other Identifiers
- P010023278 (NY, Blue Cross Blue Shield), 102044FK (NY, Preferred Care), 7741364 (TX, Aetna), 1095227 (MN, Cigna Behavioral Health), P010023278 (NY, Monroe Plan), P010023278 (NY, Blue Choice)