Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Aby George Chacko

Individual provider Clinical Social Worker · NPI 1902445810

Aby George Chacko is a Clinical Social Worker in Far Rockaway, New York. Qualified in 2019, 7 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
7
Licensed in
NY
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

521 Beach 20th St
Far Rockaway, NY 11691-3645
Phone: (718) 869-8822
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 111 New York Ave, Smithtown, NY 11787-3482 — (631) 656-9550

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 100182-01 (NY)
Clinical Social Worker Taxonomy 1041C0700X

Record details

NPI number1902445810
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 26, 2019
Last updated in NPPESMay 28, 2025
Certification dateMay 28, 2025
Mailing address18 Seitz Dr, Bethpage, NY 11714-6017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Far Rockaway