Organization Active NPI

Diane Marascia LCSW PC

  • Clinical Social Worker
  • Bayport, NY
National Provider Identifier
1093413627
Registry record updated Feb 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
DIANE MARASCIA LCSW PC
Practice address
859 Montauk Hwy Ste 2
Bayport, NY 11705-1634
Phone
(631) 513-1418
NPI assigned
Feb 22, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2023

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

Authorized official

Name
Diane Marascia, LCSW
Title
Social Worker
Phone
(631) 513-1418

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

859 Montauk Hwy Ste 2
Bayport, NY 11705-1634

Mailing address

108 Colony Dr
Holbrook, NY 11741-2839
Phone (631) 513-1418

National Provider Directory

National Provider Directory

Locations

859 Montauk Hwy
Ste 2
Bayport, NY 11705
Phone (631) 513-1418

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1677024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677024000000",
    "number": "1093413627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 COLONY DR",
            "city": "HOLBROOK",
            "state": "NY",
            "postal_code": "117412839",
            "telephone_number": "631-513-1418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "859 MONTAUK HWY STE 2",
            "city": "BAYPORT",
            "state": "NY",
            "postal_code": "117051634",
            "telephone_number": "631-513-1418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIANE MARASCIA LCSW PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-22",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A",
        "authorized_official_last_name": "MARASCIA",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "631-513-1418",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.