NPI 1043025430

Jaclyn Kodosky, LMSW

Practitioner Social Worker East Meadow, NY

Practice location

Address: 2545 Hempstead Tpke STE 105, East Meadow, NY 11554-2147
Phone: (516) 996-7040
Mailing address: 57 Farrell St, Long Beach, NY 11561-2620

Registered specialties

Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 104100000X Licence 079326 (NY)

Other Social Worker providers in New York →

Registry record

NPI: 1043025430
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Feb 2025
Record last updated: 11 Feb 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.