Individual provider · Type 1 NPI
Jaclyn Mistretta, LCSW
Clinical Social Worker · Staten Island, NY
Practice location
37 Oceanic Ave
Staten Island, NY 10312-6511
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker | 1041C0700X | 089.0137088 (VT) |
| Clinical Social Worker Primary | 1041C0700X | 091687 (NY) |
| Clinical Social Worker | 1041C0700X | SW21940 (FL) |
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 1972234649
Jaclyn Mistretta, LCSW's National Provider Identifier is 1972234649, issued on Jun 22, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Staten Island, NY. The record was last updated on May 6, 2026.