Active NPI
Daniel D. Mackler, LCSW
- Clinical Social Worker
- New York, NY
National Provider Identifier
1023157609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- P063368-1
- Practice address
- 321 W 11TH St
#2
New York, NY 10014-2336 - Phone
- (212) 243-5838
- NPI assigned
- Feb 6, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | P063368-1 | NY | Primary |
Addresses
Primary practice location
321 W 11TH St
#2
New York, NY 10014-2336
Mailing address
321 W 11TH St
#2
New York, NY 10014-2336
Phone (212) 243-5838
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02499392 | Medicaid | NY | |
| 353134 | Other | NY | MHN PROVIDER ID # |
| P3524256 | Other | NY | OXFORD PROVIDER ID # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P063368-1 | NY | MD | Clinical Social Worker |
| 063368 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1023157609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "321 W 11TH ST",
"address_2": "#2",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100142336",
"telephone_number": "212-243-5838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "321 W 11TH ST",
"address_2": "#2",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100142336",
"telephone_number": "212-243-5838"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACKLER",
"first_name": "DANIEL",
"middle_name": "D.",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-06",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "P063368-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02499392",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN PROVIDER ID #",
"identifier": "353134",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD PROVIDER ID #",
"identifier": "P3524256",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.