Jessica Massaro, LCSW-R
Social Worker, Clinical in Slaterville Springs, NY. Individual provider (NPI-1).
NPI number1992961023
StatusActive
Last updated in NPPESOct 2, 2024
Details
- NPI
- 1992961023
- Entity type
- Individual (NPI-1)
- Name
- Ms. Jessica Massaro
- Credential
- LCSW-R
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 29, 2008
- Certification date
- Oct 2, 2024
- Last updated
- Oct 2, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | R079523-1 | NY | Yes |
| 104100000X | Social Worker | 077385 | NY | |
| 1041C0700X | Social Worker, Clinical | 079523-1 | NY |
Practice location
2680 Slaterville RdSlaterville Springs, NY 14881-9412
Phone 607-220-9689
Mailing address
2680 Slaterville RdSlaterville Springs, NY 14881-9412
Phone 607-220-9689
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