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

Nicolelynn Marie Carroccio, LCSW

Individual provider Social Worker · NPI 1548857717

Nicolelynn Marie Carroccio, LCSW is a Clinical Social Worker in Camillus, New York. Qualified in 2020, 6 years ago. Practices with Liberty Resources Inc, a 74-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
6
Licensed in
NY
In the registry since
2020
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

4914 W Genesee St
Camillus, NY 13031-2374
Phone: (315) 832-0093
Show map & directions

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 099768 (NY)
Social Worker Taxonomy 104100000X · Licence 111245-01 (NY)

Record details

NPI number1548857717
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedDecember 22, 2020
Last updated in NPPESApril 17, 2025
Certification dateApril 17, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Liberty Resources Inc — 74 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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