Individual provider Active NPI

Lynn Marcia Macarin-Mara, LCSW,CSW,

  • Clinical Social Worker
  • Staten Island, NY
National Provider Identifier
1295892677
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
PRO25698 Issued in NY
Practice address
633 Clove Rd
Staten Island, NY 10310-2736
Phone
(732) 906-6383
Fax
(732) 906-5429
NPI assigned
Jan 3, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC00604400 NJ
Clinical Social Worker 1041C0700X PRO25698 NY Primary

Addresses

Primary practice location

633 Clove Rd
Staten Island, NY 10310-2736

Mailing address

2 Blair Ave
Metuchen, NJ 08840-2003
Phone (732) 906-6383

Other identifiers 2

IdentifierTypeStateIssuer
44SC00604400OtherNJLCSW
PRO25698OtherNYLCSW

Other names 1

  • Mrs. Lynn Macarin Weingast Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20050503000260 NJ Practitioner - Clinical Social Worker 3870582588 Practice locations: Metuchen, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2 Blair Ave
Metuchen, NJ 08840-2003
Phone (908) 930-6108

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC00604400NJMDClinical Social Worker
PRO25698NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295892677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 BLAIR AVE",
            "city": "METUCHEN",
            "state": "NJ",
            "postal_code": "088402003",
            "telephone_number": "732-906-6383",
            "fax_number": "732-906-5429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 CLOVE RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103102736",
            "telephone_number": "732-906-6383",
            "fax_number": "732-906-5429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACARIN-MARA",
        "first_name": "LYNN",
        "middle_name": "MARCIA",
        "name_prefix": "Ms.",
        "credential": "LCSW,CSW,",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC00604400",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "PRO25698",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "44SC00604400",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "PRO25698",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYNN",
            "last_name": "WEINGAST",
            "middle_name": "MACARIN",
            "prefix": "MRS.",
            "credential": "LCSW,",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.