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

Cassandra L Iadicicco

Individual provider Mental Health Counselor · NPI 1871210575

Cassandra L Iadicicco is a Mental Health Counselor in Staten Island, New York. Qualified in 2020, 6 years ago. Licensed in New York.

Years since qualifying
6
Licensed in
NY
In the registry since
2022
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Practice location Address checks out

14 Slosson Ter
Staten Island, NY 10301-2507
Phone: (718) 273-8409
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X (NY)

Record details

NPI number1871210575
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 24, 2022
Last updated in NPPESOctober 24, 2022
Certification dateOctober 24, 2022

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated

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