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

MS. Marylou Paccione, LCSW

Individual provider Clinical Social Worker · NPI 1982970778

MS. Marylou Paccione, LCSW is a Clinical Social Worker in Port Jefferson, New York. Graduated from University of Missouri, Columbia School of Medicine in 1994, 32 years ago. Practices with Talkspace Medical Services Ny PC, a 46-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
32
Trained at
University of Missouri, Columbia School of Medicine
Licensed in
NY
In the registry since
2012
Specialties on file
2
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

204 W Broadway
Port Jefferson, NY 11777-1316
Phone: (631) 793-5292
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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 080703 (NY)
Clinical Social Worker Taxonomy 1041C0700X · Licence 050251 (NY)

Record details

NPI number1982970778
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedMarch 27, 2012
Last updated in NPPESNovember 15, 2023
Certification dateNovember 15, 2023

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolUNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Graduated 1994 (32 years in practice)
Group practice Talkspace Medical Services Ny Pc — 46 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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