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

Jackqueline Anne Merulla, LCSW-R

Individual provider Clinical Social Worker · NPI 1043590730

Jackqueline Anne Merulla, LCSW-R is a Clinical Social Worker in Syracuse, New York. Licensed in New York. Registered with an NPI since 2011.

Licensed in
NY
In the registry since
2011

Practice location Address checks out

404 Oak Street St Ste 200
Syracuse, NY 13203-2997
Phone: (315) 703-0168
Fax: (315) 299-2530
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 083923-1 (NY)

Record details

NPI number1043590730
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW-R
Sole proprietorNo
NPI enumeratedAugust 25, 2011
Last updated in NPPESAugust 7, 2020
Certification dateAugust 7, 2020

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