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

Jacqueline Marsillo

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1811149438

Jacqueline Marsillo is a Clinical Social Worker in New York, New York. Qualified in 2018, 8 years ago. Registered with an NPI since 2008.

Years since qualifying
8
In the registry since
2008

Practice location Address checks out

116 John St
New York, NY 10038-3300
Phone: (212) 385-0086
Fax: (212) 732-0757
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X

Record details

NPI number1811149438
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 14, 2008
Last updated in NPPESOctober 14, 2008

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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