Maryann Larosa,LCSW/R

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

050562 Issued in NY

Legal business name

MARYANN LAROSA,LCSW/R

Practice address

233 Union Ave
Suite 202
Holbrook, NY 11741-1820

Phone

(631) 737-2727

Fax

(631) 585-8591

NPI assigned

Apr 24, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Maryann La Rosa, LCSW/RNPI 1396843637

Title

Social Worker

Phone

(631) 737-2727

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maryann La Rosa, LCSW-R

  • Clinical Social Worker
  • Holbrook, NY
  • NPI 1396843637
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1429833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429833600000",
    "number": "1003203340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 UNION AVE",
            "address_2": "SUITE 202",
            "city": "HOLBROOK",
            "state": "NY",
            "postal_code": "117411820",
            "telephone_number": "631-737-2727",
            "fax_number": "631-585-8591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 UNION AVE",
            "address_2": "SUITE 202",
            "city": "HOLBROOK",
            "state": "NY",
            "postal_code": "117411820",
            "telephone_number": "631-737-2727",
            "fax_number": "631-585-8591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYANN LAROSA,LCSW/R",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-24",
        "last_updated": "2015-04-24",
        "status": "A",
        "authorized_official_last_name": "LA ROSA",
        "authorized_official_first_name": "MARYANN",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "631-737-2727",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW/R"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "NY",
            "license": "050562",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "N8L541",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Devin Marino, PT, DPT
• Mary T. Marino, PHD
• Cheryl D Martin, REGISTERED NURSE
• Annamaria B Martinez, BSN
• Karen Suzanne Martinez
• Kara Mason
• Tabitha A Mass, LPN
• Marc Mastropolo, LCSW
• Suchi Matalia, O.D.
• Sisy Jose Mathew, RN

• Point of Service in Holbrook, NY
• Providers in Holbrook, NY by specialty
• Point of Service in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.