Active NPI
Mark Joseph Ziobro, LMSW
- Counselor
- Herkimer, NY
National Provider Identifier
1093289092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 105570
- Practice address
- 417 E German St
Herkimer, NY 13350-1028 - Phone
- (315) 868-1000
- NPI assigned
- Jan 14, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 105570 | NY | Primary |
Addresses
Primary practice location
417 E German St
Herkimer, NY 13350-1028
Mailing address
39 Beechnut Ter
Whitesboro, NY 13492-1703
Phone (315) 412-2141
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 105570 | NY | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cornerstone Herkimer | Past | Accepting new patients | |
| Herkimer Cornerstone, LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Social Worker
- Herkimer, NY
- NPI 1588100986
-
- Community/Behavioral Health Agency
- Herkimer, NY
- NPI 1700318615
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547424000000",
"number": "1093289092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39 BEECHNUT TER",
"city": "WHITESBORO",
"state": "NY",
"postal_code": "134921703",
"telephone_number": "315-412-2141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "417 E GERMAN ST",
"city": "HERKIMER",
"state": "NY",
"postal_code": "133501028",
"telephone_number": "315-868-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZIOBRO",
"first_name": "MARK",
"middle_name": "JOSEPH",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-01-14",
"last_updated": "2019-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NY",
"license": "105570",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Herkimer, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.