Individual provider · Type 1 NPI

Jessica A. Vassallo, LCSW

Clinical Social Worker · New York, NY

NPI number 1265719587 Active

Practice location

109 W 27th St Ste 5S
New York, NY 10001-6208

Mailing address

1889 Helen Ct
Merrick, NY 11566-4929

Other practice locations

  • 1889 Helen Ct, Merrick, NY 11566-4929 · (516) 567-7101

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X076502 (NY)

Clinical Social Worker: 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 interpers…

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About NPI 1265719587

Jessica A. Vassallo, LCSW's National Provider Identifier is 1265719587, issued on Nov 15, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in New York, NY. The record was last updated on Oct 7, 2026.