MEDICARE: MS. DEBORAH L LOCICERO LCSW-R

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	R027894-1	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1164745212
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. DEBORAH L LOCICERO LCSW-R

Provider Business Mailing Address
First Line	:	2345 ROUTE 52
Second Line	:	SUITE F
City	:	HOPEWELL JUNCTION
State	:	NY
Zip	:	12533-3218
Country	:	US
Telephone Number	:	914-815-7271
Fax Number	:	888-972-5017

Provider Business Practice Location Address
First Line	:	2345 ROUTE 52
Second Line	:	SUITE F
City	:	HOPEWELL JUNCTION
State	:	NY
Zip	:	12533-3218
Country	:	US
Telephone Number	:	914-815-7271
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/03/2010
Last Update Date	:	09/01/2025

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