Individual provider Active NPI

Marialeen Masucci-Martorella, LCSW-R,BCD

  • Clinical Social Worker
  • Massapequa, NY
National Provider Identifier
1063748424
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
076652-1 Issued in NY
Practice address
5254 Merrick Rd
Massapequa, NY 11758-6206
Phone
(917) 939-7056
Fax
(917) 939-7056
NPI assigned
Oct 20, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NY
Clinical Social Worker 1041C0700X 076652-1 NY Primary

Addresses

Primary practice location

5254 Merrick Rd
Massapequa, NY 11758-6206

Mailing address

33 Willa Way
Massapequa, NY 11758-8528
Phone (917) 939-7056

Other practice location 1

1814 College Point Blvd
College Point, NY 11356-2241
Phone (347) 804-8277

Other names 1

  • Marialeen Martorella Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 16, 2026 through Feb 16, 2028

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

33 Willa Way
Massapequa, NY 11758-8528

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
076652-1NYMDClinical Social Worker

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

NPI Registry JSON

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

{
    "created_epoch": "1255996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1063748424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 WILLA WAY",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117588528",
            "telephone_number": "917-939-7056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5254 MERRICK RD",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117586206",
            "telephone_number": "917-939-7056",
            "fax_number": "917-939-7056"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1814 College Point Blvd",
            "address_purpose": "LOCATION",
            "city": "College Point",
            "state": "NY",
            "postal_code": "113562241",
            "country_code": "US",
            "telephone_number": "347-804-8277",
            "fax_number": "718-321-0917",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASUCCI-MARTORELLA",
        "first_name": "MARIALEEN",
        "credential": "LCSW-R,BCD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-20",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "076652-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIALEEN",
            "last_name": "MARTORELLA",
            "credential": "LCSW-R, BCD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Massapequa, NY

Sources for this page

Verify at the official NPI Registry.