Barbara Mazzarella, LCSW-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

050093-IR Issued in NY

Practice address

211 East 43Rd St, 7TH Floor
Ny, NY 10017-4761

Phone

(917) 355-7759

NPI assigned

Mar 24, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Previously, effective Aug 2, 2024 through Aug 2, 2026

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600214400000",
    "number": "1083674139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 EAST 43RD ST, 7TH FLOOR",
            "city": "NY",
            "state": "NY",
            "postal_code": "100174761",
            "telephone_number": "917-355-7759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 EAST 43RD ST, 7TH FLOOR",
            "city": "NY",
            "state": "NY",
            "postal_code": "100174761",
            "telephone_number": "917-355-7759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZZARELLA",
        "first_name": "BARBARA",
        "name_prefix": "Ms.",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-24",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R050093",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "050093-IR",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Camilia Rivera Martin, M.D.
• Georgette Massarella, LCAT
• Rathbun Fuller Mather Jr., LCSW
• Sunita Mathew, DPT
• Mithlesh Mathur, MD
• Brenda Helen McCoy, MD
• Alice McCrimmon, RN
• Anne M McDonnell, LCSW
• Theresa McIntyre, NP
• Melissa Kate McIntosh, Inc.

• Clinical Social Worker in Ny, NY
• Providers in Ny, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.