MRS. STEPHANIE PERSICO (NPI# 1861892168) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861892168 |
| Entity Type | Individual |
| Full Name | MRS. STEPHANIE PERSICO |
| Credential | LMSW |
| Practice Address |
2030 Bodanyi Pl Ronkonkoma NY 11779-6530 |
| Mailing Address |
3251 Route 112 Ste 2 Medford NY 11763-1446 |
| Practice Telephone | 6314284991 |
| Mailing Telephone | 6314516007 |
| Enumeration Date | 2014-08-25 |
| Last Update Date | 2019-02-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| Street Address |
2030 BODANYI PL |
| City | RONKONKOMA |
| State | NY |
| Zip Code | 11779-6530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750929139 | Sebastian Godinez | Student in an Organized Health Care Education/Training Program | 11 First Street, Ronkonkoma, NY 11779 | 2019-12-16 |
| 1487149860 | John Deming | Student in an Organized Health Care Education/Training Program | 142 - 02 20th Avenue, Flushing, NY 11779 | 2018-06-27 |
| 1376060392 | Janine D'annunzio | Specialist | 316 Thirft Street, Ronkonkoma, NY 11779 | 2017-08-30 |
| 1932621935 | Vincent Joseph Lopreto | Counselor | 253 Lake Shore Road, Ronkonkoma, NY 11779 | 2017-07-11 |
| 1598295271 | Dalas Taddeo | Licensed Practical Nurse | 4490 Express Drive S, Ronkonkoma, NY 11779 | 2017-06-15 |
| 1790214112 | Pamela Ferrante | Social Worker | 131 Avenue D, Ronkonkoma, NY 11779 | 2017-06-08 |
| 1255868915 | Bari Home Care LLC | Health Maintenance Organization | 4417 Express Drive North, Ronkonkoma, NY 11779 | 2017-05-12 |
| 1013441328 | Caring Hands Home Care | Nursing Facility/Intermediate Care Facility | 65 Cheryl Drive, Ronkonkoma, NY 11779 | 2017-04-13 |
| 1831552025 | Jacqueline Galdamez | Social Worker | 979 Johnson Avenue, Ronkonkoma, NY 11779 | 2016-04-04 |
| 1891192530 | Alex Mitchell Pollack | Massage Therapist | 34 Richmond Blvd, #3a, Ronkonkoma, NY 11779 | 2014-11-24 |
| Find all providers in zip 11779 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841706553 | Kristine Lynn Munro | Social Worker | 404 Collington Dr, Ronkonkoma, NY 11779-4939 | 2017-12-18 |
| 1639696628 | Tyler Madore | Social Worker | 500 Peconic St Apt 113b, Ronkonkoma, NY 11779-7127 | 2017-08-29 |
| 1790214112 | Pamela Ferrante | Social Worker | 131 Avenue D, Ronkonkoma, NY 11779 | 2017-06-08 |
| 1831552025 | Jacqueline Galdamez | Social Worker | 979 Johnson Avenue, Ronkonkoma, NY 11779 | 2016-04-04 |
| 1609232453 | Alicia Fuggetta | Social Worker | 929 Johnson Ave, Ronkonkoma, NY 11779-6066 | 2016-01-10 |
| 1427420264 | Lise Donnelly | Social Worker | 485 Peconic St, Ronkonkoma, NY 11779-6919 | 2015-10-20 |
| 1003200593 | Laraine Catherine Burke | Social Worker | 170 Shelter Rd, Ronkonkoma, NY 11779-4730 | 2015-03-24 |
| 1285038919 | Suzanne Verdi | Social Worker | 126 Rose Dr, Ronkonkoma, NY 11779-3123 | 2014-10-08 |
| 1497188353 | Jodi Michelle Merlino | Social Worker | 205 Springdale Dr, Ronkonkoma, NY 11779-6060 | 2013-08-14 |
| 1801184429 | Kathleen Ann Garneau | Social Worker | 2040 Ocean Ave, Ronkonkoma, NY 11779-6536 | 2011-07-17 |
| Find all providers in RONKONKOMA | ||||
| City | RONKONKOMA |
| Zip Code | 11779 |
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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.