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Jacqueline Christina Mauro, LMSW

Social Worker, Clinical in Far Rockaway, NY. Individual provider (NPI-1).

NPI number1679052575
StatusActive
Last updated in NPPESMar 5, 2026

Details

NPI
1679052575
Entity type
Individual (NPI-1)
Name
Jacqueline Christina Mauro
Credential
LMSW
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 10, 2018
Certification date
Mar 5, 2026
Last updated
Mar 5, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical101656NYYes
101YM0800X Counselor, Mental Health105535NY
104100000X Social Worker105535NY

Practice location

1622 Central Ave
Far Rockaway, NY 11691-4002

Phone 718-327-9001

Mailing address

855 E Broadway Apt 3c
Long Beach, NY 11561-4747

Phone 516-761-5845

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