Individual provider Active NPI

Alexander G Marosy, MSW, LISW

  • Clinical Social Worker
  • Warren, OH
National Provider Identifier
1285157610
Registry record updated Oct 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
1947 E Market St
Warren, OH 44483-6644
Phone
(330) 965-9999
Fax
(330) 757-0000
NPI assigned
Jul 18, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X I.1901979 OH
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

1947 E Market St
Warren, OH 44483-6644

Mailing address

8345 Anderson Ave NE
Warren, OH 44484-1537

Other practice location 1

3657 Mahoning Ave
Youngstown, OH 44515-3018
Phone (330) 965-9999 ext. 504

Other practice location 2

11369 Market St
North Lima, OH 44452-9782
Phone (330) 965-9999

Other identifiers 1

IdentifierTypeStateIssuer
0284376MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20200206002990 OH Practitioner - Clinical Social Worker 5991131104 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Serenity Center of Youngstown LLCGroup PAC ID 3870893472, 13 clinicians

Practice addresses (Care Compare)

1947 E Market St
Warren, OH 44483-6644
Phone (330) 965-9999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Serenity Center of Youngstown, LLC CurrentSince Dec 18, 2019 Accepting new patients

Locations

11369 Market St
North Lima, OH 44452
Phone (330) 965-9999

1947 E Market St
Warren, OH 44483
Phone (330) 965-9999

3657 Mahoning Ave
Youngstown, OH 44515
Phone (330) 965-9999

8440 Market St
Youngstown, OH 44512
Phone (330) 533-8888

Organizations & group practices 1

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": "1500336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665619200000",
    "number": "1285157610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8345 ANDERSON AVE NE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444841537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1947 E MARKET ST",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444836644",
            "telephone_number": "330-965-9999",
            "fax_number": "330-757-0000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3657 Mahoning Ave",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "445153018",
            "country_code": "US",
            "telephone_number": "330-965-9999 x504",
            "fax_number": "330-757-0000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11369 Market St",
            "address_purpose": "LOCATION",
            "city": "North Lima",
            "state": "OH",
            "postal_code": "444529782",
            "country_code": "US",
            "telephone_number": "330-965-9999",
            "fax_number": "330-757-0000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAROSY",
        "first_name": "ALEXANDER",
        "middle_name": "G",
        "credential": "MSW, LISW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-18",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "I.1901979",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0284376",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, OH

Sources for this page

Verify at the official NPI Registry.