Individual provider Active NPI

Adolfo Marrero, LCSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1164538799
Registry record updated Jul 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
073766 Issued in NY
Practice address
2265 3Rd Ave
New York, NY 10035-2231
Phone
(212) 289-6650
NPI assigned
Aug 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 073766 NY Primary

Addresses

Primary practice location

2265 3Rd Ave
New York, NY 10035-2231

Mailing address

2265 3Rd Ave
New York, NY 10035-2231
Phone (212) 289-6650

Other identifiers 1

IdentifierTypeStateIssuer
040426033413OtherNYFIDELIS PROVIDER NUMBER

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250109002490 NY Order and Referring Only - Clinical Social Worker 9436167657

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heritage Health and Housing, Inc.Group PAC ID 2163331620, 20 clinicians

Practice addresses (Care Compare)

1727 Amsterdam Ave
New York, NY 10031-4611

1727 Amsterdam Ave FL
Suite 4
New York, NY 10031-4611

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Puerto Rican Family Institute Past Accepting new patients
Puerto Rican Family Institute, Inc. Past Accepting new patients
Puerto Rican Family Institute, Inc. Past Accepting new patients
Puerto Rican Family Institute, Inc. Past Accepting new patients

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564444800000",
    "number": "1164538799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2265 3RD AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100352231",
            "telephone_number": "212-289-6650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2265 3RD AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100352231",
            "telephone_number": "212-289-6650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARRERO",
        "first_name": "ADOLFO",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2019-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "073766",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS PROVIDER NUMBER",
            "identifier": "040426033413",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.