Healthcare Provider Details

I. General information

NPI: 1134088735
Provider Name (Legal Business Name): JOCELIN GUADALUPE NARCISO-MOLINA LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/19/2026
Last Update Date: 01/19/2026
Certification Date: 01/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

167 ELZEY AVE
ELMONT NY
11003-1533
US

IV. Provider business mailing address

167 ELZEY AVE
ELMONT NY
11003-1533
US

V. Phone/Fax

Practice location:
  • Phone: 516-717-5720
  • Fax:
Mailing address:
  • Phone: 516-717-5720
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number130469
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: