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

Mr. Jack De Santis, LCSW

Individual provider Clinical Social Worker · NPI 1245398197

Mr. Jack De Santis, LCSW is a Clinical Social Worker in Commack, New York. Qualified in 1967, 59 years ago. Accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
59
Licensed in
NY
In the registry since
2006
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

368 Veterans Memorial Hwy Ste #1
Commack, NY 11725-4315
Phone: (631) 543-8779
Fax: (631) 361-8865
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence PR0047581 (NY)

Record details

NPI number1245398197
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedDecember 4, 2006
Last updated in NPPESJuly 8, 2007
Mailing address414 Ridgefield Road, Hauppauge, NY 11788-2312

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1967 (59 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Commack