National Provider Identifier
Jessica Massaro, LCSW-R
Jessica Massaro, LCSW-R is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Slaterville Springs, NY and a listed phone number of (607) 220-9689.
Profile Overview
- NPI
- 1992961023
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- July 29, 2008
- Last Updated
- October 02, 2024
Practice Location
- 2680 Slaterville RD
- Slaterville Springs, NY 14881-9412
Phone: (607) 220-9689
Specialties
- Clinical Social Worker (1041C0700X)
- Clinical Social Worker (1041C0700X)
- Social Worker (104100000X)
Full Record
- NPI
- 1992961023
- Entity Type
- Individual
- Last Name
- Massaro
- First Name
- Jessica
- Name Prefix
- MS.
- Credential
- LCSW-R
- Mailing Street Address
- 2680 Slaterville RD
- Mailing City
- Slaterville Springs
- Mailing State
- NY
- Mailing ZIP Code
- 14881-9412
- Mailing Country
- US
- Mailing Phone
- (607) 220-9689
- Practice Street Address
- 2680 Slaterville RD
- Practice City
- Slaterville Springs
- Practice State
- NY
- Practice ZIP Code
- 14881-9412
- Practice Country
- US
- Practice Phone
- (607) 220-9689
- Enumeration Date
- July 29, 2008
- Last Updated
- October 02, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- October 02, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X), Clinical Social Worker (1041C0700X), Social Worker (104100000X)