Marguerite F Metzendorf, LCSWR

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

R0431431 Issued in NY

Practice address

21 Charles St
Centereach, NY 11720-4023

Phone

(631) 580-4247

Fax

(631) 580-4247

NPI assigned

Jun 4, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Marguerite F Smith Former name

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

Specialty

Clinical Social Worker

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663200000000",
    "number": "1083816821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 CHARLES ST",
            "address_2": "21 CHARLES STREET",
            "city": "CENTEREACH",
            "state": "NY",
            "postal_code": "117204023",
            "telephone_number": "631-580-4247",
            "fax_number": "631-580-4247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 CHARLES ST",
            "city": "CENTEREACH",
            "state": "NY",
            "postal_code": "117204023",
            "telephone_number": "631-580-4247",
            "fax_number": "631-580-4247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METZENDORF",
        "first_name": "MARGUERITE",
        "middle_name": "F",
        "name_prefix": "Mrs.",
        "credential": "LCSWR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-04",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "R0431431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARGUERITE",
            "last_name": "SMITH",
            "middle_name": "F",
            "prefix": "MS.",
            "credential": "LCSW-R",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Shanon McKenna
• Peter Joseph McKenzie, LCSW
• Jasmine McMillan
• Fanjing Meng
• Mercy Medical Center
• Maria Middendorf, MS, LCSW
• Middle Country Family Medicine P C
• Middle Country Pediatrics, LLP
• Amanda Marie Miller
• Cristin Ann Miller, MS OTRL

• Mental Health Counselor in Centereach, NY
• Providers in Centereach, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.