Active NPI
Marialeen Masucci-Martorella, LCSW-R,BCD
- Clinical Social Worker
- Massapequa, NY
National Provider Identifier
1063748424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 076652-1
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 076652-1 | NY | MD | Clinical 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.