Individual provider Active NPI

Mariann Arcari Rubin

  • Clinical Social Worker
  • Mesa, AZ
National Provider Identifier
1225255284
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
AZ11566 Issued in AZ
Practice address
7254 E Southern Ave
Suite 123
Mesa, AZ 85209-2786
Phone
(480) 380-6248
Fax
(480) 986-2618
NPI assigned
Apr 19, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 AZ11566 AZ Primary

Addresses

Primary practice location

7254 E Southern Ave
Suite 123
Mesa, AZ 85209-2786

Mailing address

11309 E Petra Ave
Mesa, AZ 85212-1981
Phone (480) 380-6248

Other identifiers 4

IdentifierTypeStateIssuer
107699734OtherAZUNITED HEALTHCARE
12042OtherAZVALUE OPTIONS
204432OtherAZMHN
2016596OtherAZCIGNA

Other names 1

  • Mariann Arcari Former name

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
I20031110000462 NY Practitioner - Clinical Social Worker 6002729670 Practice locations: Merrick, NY; Flushing, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

31 Merrick Ave
Suite 160a
Merrick, NY 11566-3477
Phone (516) 544-9322

7050 Austin St
Flushing, NY 11375-4737
Phone (718) 353-3032

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AZ11566AZMDClinical Social Worker
044843NYMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1225255284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11309 E PETRA AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852121981",
            "telephone_number": "480-380-6248",
            "fax_number": "480-986-2618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7254 E SOUTHERN AVE",
            "address_2": "SUITE 123",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852092786",
            "telephone_number": "480-380-6248",
            "fax_number": "480-986-2618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBIN",
        "first_name": "MARIANN",
        "middle_name": "ARCARI",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-19",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "AZ11566",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "107699734",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "12042",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN",
            "identifier": "204432",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2016596",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIANN",
            "last_name": "ARCARI",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.