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

Jeraldine Fedoriw, LMSW

Individual provider Social Worker · NPI 1215528401

Jeraldine Fedoriw, LMSW is a Clinical Social Worker in Massapequa, New York. Qualified in 2002, 24 years ago. Accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
24
Licensed in
NY
In the registry since
2021
What do these letters mean?
LMSW — Licensed Master Social Worker
A master's-level social worker, usually practising under supervision.

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Practice location Address checks out

727 N Broadway Ste C1
Massapequa, NY 11758-2348
Phone: (646) 580-1008
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 069267-1 (NY)

Record details

NPI number1215528401
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMSW
Sole proprietorNo
NPI enumeratedJanuary 29, 2021
Last updated in NPPESJanuary 29, 2021
Certification dateJanuary 26, 2021

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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