Search › New York › 1041C0700X
Jaclyn Mistretta, LCSW
NPI 1972234649 · on the registry since 2022 · sole proprietor
Practice
- Address
- 37 Oceanic Ave
Staten Island, NY 10312 - Phone
- (917) 622-0114
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 1041C0700X
1041C0700X - Licence states on file
- VT, NY, FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-05-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York