Jennifer Perciavalle, LCSW, CASAC-G is a
Social Worker - Clinical based in Commack, New York. Jennifer Perciavalle is licensed to practice in New York (license number 087638) and her current practice location is
155 Indian Head Rd, Commack, New York. She can be reached at her office (for appointments etc.) via phone at
(631) 543-6200.
NPI number for Jennifer Perciavalle is 1265677066 and her current mailing address is 155 Indian Head Rd, Commack, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1265677066.
Healthcare Provider's Profile
Full Name | Jennifer Perciavalle |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 155 Indian Head Rd, Commack, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1265677066
- Provider Enumeration Date: 12/08/2008
- Last Update Date: 04/15/2019
Medical Identifiers
Medical identifiers for Jennifer Perciavalle such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1265677066 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 28504 (New York) | Secondary |
1041C0700X | Social Worker - Clinical | 087638 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jennifer Perciavalle is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jennifer Perciavalle, LCSW, CASAC-G 155 Indian Head Rd, Commack, NY 11725-2298 Ph: (631) 543-6200 | Jennifer Perciavalle, LCSW, CASAC-G 155 Indian Head Rd, Commack, NY 11725 Ph: (631) 543-6200 |
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