Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Jennie Alyse Restuccia, LCSW

Individual provider Clinical Social Worker · NPI 1467374892

Jennie Alyse Restuccia, LCSW is a Clinical Social Worker in Wallkill, New York. Licensed in New York. Registered with an NPI since 2026.

Licensed in
NY
In the registry since
2026
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

525 Church St
Wallkill, NY 12589
Phone: (845) 522-1522
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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 104183 (NY)

Record details

NPI number1467374892
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJuly 28, 2026
Last updated in NPPESSeptember 21, 2026
Certification dateSeptember 21, 2026

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