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

Mrs. Judith Damico

Individual provider Social Worker · NPI 1396842944

Mrs. Judith Damico is a Clinical Social Worker in Port Jefferson, New York. Qualified in 1975, 51 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
51
Licensed in
NY
In the registry since
2006
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Practice location Address checks out

903 Main St Ste 202
Port Jefferson, NY 11777-2262
Phone: (631) 473-3060
Fax: (631) 751-2850
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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 LCSW R016472-1 (NY)

Record details

NPI number1396842944
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 17, 2006
Last updated in NPPESJuly 8, 2007
Mailing address903 Main St, Suite 202, Port Jefferson, NY 11777-2262

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1975 (51 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Port Jefferson