Individual provider Active NPI

Mary E Cassese, LMSW

  • Clinical Social Worker
  • Carmel, NY
National Provider Identifier
1043519069
Registry record updated Mar 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
082970-1 Issued in NY
Practice address
667 Stoneleigh Ave
Suite 202
Carmel, NY 10512-2454
Phone
(845) 279-6381
Fax
(845) 279-5447
NPI assigned
Mar 16, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 082970-1 NY Primary

Addresses

Primary practice location

667 Stoneleigh Ave
Suite 202
Carmel, NY 10512-2454

Mailing address

667 Stoneleigh Ave
Suite 202
Carmel, NY 10512-2454
Phone (845) 279-6381

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170601001623 NY Practitioner - Clinical Social Worker 0749557379 Practice locations: Poughkeepsie, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9 Vassar St
Suite 25
Poughkeepsie, NY 12601-3022
Phone (845) 853-5944

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
082970-1NYMDClinical Social Worker
084912NYMDSchool Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1300233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300233600000",
    "number": "1043519069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "667 STONELEIGH AVE",
            "address_2": "SUITE 202",
            "city": "CARMEL",
            "state": "NY",
            "postal_code": "105122454",
            "telephone_number": "845-279-6381",
            "fax_number": "845-279-5447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "667 STONELEIGH AVE",
            "address_2": "SUITE 202",
            "city": "CARMEL",
            "state": "NY",
            "postal_code": "105122454",
            "telephone_number": "845-279-6381",
            "fax_number": "845-279-5447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASSESE",
        "first_name": "MARY",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-16",
        "last_updated": "2011-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "082970-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, NY

Sources for this page

Verify at the official NPI Registry.