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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. JENNIFER LYNNE MANDATO TRUCIOS, CASAC-T, CRPA-P

Active

MRS. JENNIFER LYNNE MANDATO TRUCIOS, CASAC-T, CRPA-P is a Addiction (Substance Use Disorder) Counselor healthcare provider located in STATEN ISLAND, New York. NPI 1538731369 is currently active in the NPPES registry. Verify at CMS.

Addiction (Substance Use Disorder) Counselor · STATEN ISLAND, NY

Registration Details

NPI Number
1538731369
Provider Type
Individual
Gender
Female
NPI Issued
Jul 12, 2021 (5.087251005096 yrs)
Last Updated
Jan 6, 2026
License
37240 (NY)

Practice Information

Address
CAMELOT, 460 BRIELLE AVENUE
STATEN ISLAND, NY, 10309
Browse NY providers · Browse ZIP 10309
Phone
1347923137
Additional Specialty
Social Worker

Other Addiction (Substance Use Disorder) Counselor Providers in STATEN ISLAND, NY

Name Credential NPI
MS. CHERYL L. NAZARIO C.A.S.A.C. 1518125228
MS. NORMA P. MITCHELL C.A.S.A.C. 1306004015
MR. JOHN C COWEN CASAC-T 1689839045
DOMENICA FRATTO MSW 1962667220
LAUREN K OLSEN LCADC 1174788335
MR. JORGE RIVERA CASAC 1609032754
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.