MR. JERRY FRANK MAIELLO JR. (NPI# 1124053897) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124053897 |
| Entity Type | Individual |
| Full Name | MR. JERRY FRANK MAIELLO JR. |
| Other Name | MR. JERRY FRANK MAIELLO JR. |
| Credential | LCSW |
| Practice Address |
331 Ushers Road Northway 10 Professional Park Ballston Lake NY 12019 |
| Mailing Address |
Po. Box 873 Clifton Park New York NY 12065-5013 |
| Practice Telephone | 5183711122 |
| Practice Fax Number | 5184376565 |
| Mailing Telephone | 5183711122 |
| Mailing Fax Number | 5184376565 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
PR024915-1 | NY | Behavioral Health & Social Service Providers |
| Street Address |
331 USHERS ROAD NORTHWAY 10 PROFESSIONAL PARK |
| City | BALLSTON LAKE |
| State | NY |
| Zip Code | 12019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104839836 | Richard Albert Demartino | Psychologist | 331 Ushers Road, Northway 10 Professional Park, Ballston Lake, NY 12019-1327 | 2006-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093254765 | Leah Bushey | Occupational Therapist | 4062 Jockey St, Charlton, NY 12019 | 2017-02-15 |
| 1033492160 | Katie Whelan | Speech-Language Pathologist | 9 St. Patrick Place, Ballston Lake, NY 12019 | 2011-09-26 |
| 1548564941 | Anthony Iannuccillo | Optometrist | 5 Wood Dale Dr., Ballston Lake, NY 12019 | 2010-12-29 |
| 1578886867 | Cynthia Sadauskas | Pharmacist | 806 Saratoga Rd, Burnt Hills, NY 12019 | 2010-03-01 |
| 1801065412 | Mary Bridget Murphy | Pharmacist | 806 Route 50, Burnt Hills, NY 12019 | 2008-02-27 |
| 1962617191 | Stephanie Yonkers | Nurse Practitioner | 318 Ruhle Rd. S., Ballston Lake, NY 12019 | 2007-05-11 |
| 1457574287 | David Brooks Pierce | Dentist | 110 Lake Rd., Ballston Lake, NY 12019 | 2007-04-10 |
| 1326123183 | Paul J Gauthier Sr. | Dentist | 397 Stage Rd, Charlton, NY 12019 | 2006-10-27 |
| 1942398300 | Irwin Bruce Finch | Dentist | 134 Wood Dale Drive, Ballston Lake, NY 12019 | 2006-10-11 |
| 1821074840 | Ballston Lake Emergency Squad Inc | Ambulance | 1123 Rt 146a, Ballston Lake, NY 12019 | 2005-12-21 |
| Find all providers in zip 12019 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932141876 | Deborah R Armstrong | Social Worker | 315 Ushers Rd, Northway 10 Executive Park, Ballston Lake, NY 12019-1547 | 2006-06-12 |
| 1437418795 | Saratoga Hospital | Social Worker | 112 Charlton Rd, Ballston Lake, NY 12019-2547 | 2012-05-08 |
| 1316003445 | Ellen Ozarow Brown | Social Worker | 315 Ushers Rd, Northway 10 Executive Park, Ballston Lake, NY 12019-1547 | 2007-01-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457952129 | Elizabeth E Pascuzzi | Social Worker | 17 Copiague Pl, Copiague, NY 11726-3301 | 2020-11-08 |
| 1649871781 | Samantha Rizzo-bohsali | Social Worker | 20 Clermont Pl, Staten Island, NY 10314-4020 | 2020-11-05 |
| 1194326470 | Qwest Therapy Lcsw Pllc | Social Worker | 61 Fassitt Dr, Mahopac, NY 10541-3803 | 2020-11-04 |
| 1801497060 | Mary Beth Davis-steyer | Social Worker | 14 Cottonwood Cir, Saugerties, NY 12477-9300 | 2020-11-04 |
| 1538760905 | Herby Simonis | Social Worker | 10925 200th St, Saint Albans, NY 11412-1223 | 2020-11-03 |
| 1548861982 | Carl Joy Adelman | Social Worker | 15 Cisney Avenue, Floral Park, NY 11001-3249 | 2020-11-03 |
| 1831790195 | Emily Phyllis Wood | Social Worker | 6 Automation Ln Ste 112/113, Albany, NY 12205-1668 | 2020-11-03 |
| 1417558065 | Elizabeth Fagan | Social Worker | 108 E 91st St Apt 4c, New York, NY 10128-1659 | 2020-11-02 |
| 1255932885 | Kim Marie Yancey | Social Worker | 145 E 126th St Apt 3f, New York, NY 10035-1727 | 2020-11-02 |
| 1427659945 | Katherine Rechnio | Social Worker | 39 Horizon Farms Dr # 1, Warwick, NY 10990-2261 | 2020-11-02 |
| Find all providers with the same taxonomy | ||||
| City | BALLSTON LAKE |
| Zip Code | 12019 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.