Marisol Alcantara

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW023067 Issued in PA

Practice address

38 N Prospect Park Dr
Sugarloaf, PA 18249-3630

Phone

(718) 530-8968

NPI assigned

Nov 18, 2018

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Clinical

  NPD

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

{
    "created_epoch": "1542499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672358400000",
    "number": "1215406301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 N PROSPECT PARK DR",
            "city": "SUGARLOAF",
            "state": "PA",
            "postal_code": "182493630",
            "telephone_number": "718-530-8968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 N PROSPECT PARK DR",
            "city": "SUGARLOAF",
            "state": "PA",
            "postal_code": "182493630",
            "telephone_number": "718-530-8968"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "38 N Prospect Park Dr",
            "address_purpose": "LOCATION",
            "city": "Sugarloaf",
            "state": "PA",
            "postal_code": "182493630",
            "country_code": "US",
            "telephone_number": "718-530-8968",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALCANTARA",
        "first_name": "MARISOL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-18",
        "last_updated": "2022-12-30",
        "certification_date": "2022-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW023067",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "103020",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Abalo
• Nora Abraham
• Frandia Abreu
• Alyssa Alt
• Yulissa Ayala
• Bafile Family Chiropractic
• Carina Rose Baldacci, M.A., LBS, BCBA
• Kali Amanda Basalyga, PA-C

• Clinical Social Worker in Sugarloaf, PA
• Providers in Sugarloaf, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.