National Provider Identifier
Jaclyn Rita Derito, LMSW
Jaclyn Rita Derito, LMSW is listed in the NPPES registry with a primary specialty of Social Worker in Baldwinsville, NY and a listed phone number of (315) 559-7593.
Source: public NPPES record, last updated April 20, 2021. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1932780038
- Provider Type
- Individual
- Primary Specialty
- Social Worker
- Enumeration Date
- April 20, 2021
- Last Updated
- April 20, 2021
Practice Location
- 20 Echodale Ave
- Baldwinsville, NY 13027-1224
Phone: (315) 559-7593
Mailing Address
- 20 Echodale Ave # 20
- Baldwinsville, NY 13027-1224
Specialties
- Social Worker (104100000X)
Endpoints
- Baldwinsville
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Biography
Jaclyn Derito is a licensed master social worker based in Baldwinsville, New York. Public sources do not appear to provide additional well-supported details about her training, affiliations, faculty roles, research, leadership, or prior practice history.
Full Record
- NPI
- 1932780038
- Entity Type
- Individual
- Last Name
- Derito
- First Name
- Jaclyn
- Middle Name
- Rita
- Name Prefix
- Mrs.
- Credential
- LMSW
- Mailing Street Address
- 20 Echodale Ave # 20
- Mailing City
- Baldwinsville
- Mailing State
- NY
- Mailing ZIP Code
- 13027-1224
- Mailing Country
- US
- Mailing Phone
- (315) 559-7593
- Practice Street Address
- 20 Echodale Ave
- Practice City
- Baldwinsville
- Practice State
- NY
- Practice ZIP Code
- 13027-1224
- Practice Country
- US
- Practice Phone
- (315) 559-7593
- Enumeration Date
- April 20, 2021
- Last Updated
- April 20, 2021
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- April 20, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Social Worker (104100000X)