Jennifer Lively-pagliuca, LCSW, CADC
Jennifer Lively-pagliuca, LCSW, CADC is a provider specialising in Social Worker in Fort Drum, NY, registered under NPI 1801358817. This provider registers 3 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.
Getting there
The practice address on file is 11050 MOUNT BELVEDRE BLVD RM 1113, Fort Drum, NY 13602. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 9561-C | NV | Social Worker primary |
| 8013-S | NV | Social Worker |
| IC-1311 | NV | Clinical Social Worker |
| 00758-C | NV | Addiction (Substance Use Disorder)… |
| 9561-C | NV | Clinical Social Worker |
This provider holds licence 9561-C issued in NV. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Order And Referring Only - Clinical Social Worker
- PAC ID
- 5092192872
- Enrollment ID
- I20220517001009
Medicare enrolment is recorded as approved under the provider type Order And Referring Only - Clinical Social Worker. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Social Worker covers
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. NUCC Health Care Provider Taxonomy, code 104100000X
All registered taxonomy codes
This provider registers 5 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 104100000X | Social Worker | 9561-C | NV | primary |
| 104100000X | Social Worker | 8013-S | NV | |
| 1041C0700X | Clinical Social Worker Clinical | IC-1311 | NV | |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor Addiction (Substance Use Disorder) | 00758-C | NV | |
| 1041C0700X | Clinical Social Worker Clinical | 9561-C | NV |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1801358817 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Apr 1, 2019 |
| Last updated | Apr 22, 2025 |
| Status | Active |
| Sole proprietor | Yes |
| Credential | LCSW, CADC |
| Practice address |
11050 MOUNT BELVEDRE BLVD RM 1113 Fort Drum, NY 13602 (315) 772-2151 |
| Mailing address |
11480 ENDURING FREEDOM DR. Fort Drum, NY 13602 |
| Other identifiers |
250002931
· Medicaid (NV) 00758-C · Other (NV) 9561-C · Other (NV) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 8 | 0 | 1 | 3 | 5 | 8 | 8 | 1 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 8 | 0 | 1 | 6 | 5 | 7 | 8 | 2 |
Sum = 63 · next multiple of 10 = 70 · check digit = 7 · actual last digit = 7
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.