MRS. JUDITH DAMICO NPI 1396842944

NPI Information

  • NPI: 1396842944
  • Provider Name: MRS. JUDITH DAMICO
  • Classification: Social Worker - 104100000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 903 MAIN ST
    SUITE 202
    PORT JEFFERSON, NY
    ZIP 11777
  • Phone: (631) 473-3060

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NPI Details

MRS. Judith Damico is a social worker in Port Jefferson, NY with 51 years of experience. The provider is 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. MRS. Judith Damico NPI is 1396842944. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

903 MAIN ST
SUITE 202
PORT JEFFERSON, NY
ZIP 11777-262
Phone: (631) 473-3060
Fax: (631) 751-2850

The NPI 1396842944 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Psychotherapy, 1 hour (HCPCS:90837)

The enumeration date for this NPI number is 9/17/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1104100000XSocial WorkerLCSW R016472-1NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1N61882MEDICARE ID-TYPE UNSPECIFIEDNEW YORKMEDICARE
274009640OTHERGHI, EMPIRE PLAN
3P1533264OTHEROXFORD HEALTH CARE
402027003OTHERNEW YORKMEDICAID
5N61882OTHEREMPIRE BC/BS
6059761OTHERVALUE OPTIONS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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