| James Daconti, | |
|
727 N Broadway Ste C1, Massapequa, NY 11758-2348 | |
| (631) 606-6068 | |
| Not Available |
| Full Name | James Daconti |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 727 N Broadway Ste C1, Massapequa, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285159756 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 088328 (New York) | Primary |
| 104100000X | Social Worker | 095809 (New York) | Secondary |
| Entity Name | Goodman & Daconti Lcsws Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699382473 PECOS PAC ID: 0042626251 Enrollment ID: O20210315000750 |
| Mailing Address | Practice Location Address |
|---|---|
| James Daconti, 727 N Broadway Ste C1, Massapequa, NY 11758-2348 Ph: (631) 606-6068 | James Daconti, 727 N Broadway Ste C1, Massapequa, NY 11758-2348 Ph: (631) 606-6068 |
Mrs. Jessica Pilar Satkunasingham, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 727 N Broadway Ste B1, Massapequa, NY 11758 Phone: 800-871-5491 | |
Mrs. Catherine Rose, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1211 Bucknell Drive, Massapequa, NY 11758 Phone: 917-282-4877 | |
Ms. Kelly Kowalek, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 75 Grand Ave, Massapequa, NY 11758 Phone: 516-799-3203 | |
Melissa Ciccarello, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 265 N Richmond Ave, Massapequa, NY 11758 Phone: 516-652-7625 | |
Mrs. Angela Piccininni, LCSW R Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 75 Grand Ave, Massapequa, NY 11758 Phone: 519-799-3203 | |
Thomas Joseph Mccoy, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 627 Broadway, Suite 205, Massapequa, NY 11758 Phone: 516-731-3248 Fax: 516-731-3248 | |
Marialeen Masucci-martorella, LCSW-R,BCD Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 5254 Merrick Rd, Massapequa, NY 11758 Phone: 917-939-7056 Fax: 917-939-7056 |