Individual provider Active NPI

Gabriele Mariotti, LCSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1326327560
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
082774 Issued in NY
Practice address
15 East 40TH Street
Suite 801
New York, NY 10016-0401
Phone
(845) 731-9621
Fax
(646) 619-4787
NPI assigned
Aug 5, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2023

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 082774 NY Primary

Addresses

Primary practice location

15 East 40TH Street
Suite 801
New York, NY 10016-0401

Mailing address

15 East 40TH Street
Suite 801
New York, NY 10016-0401
Phone (845) 731-9621

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
I20150306000906 NY Practitioner - Clinical Social Worker 4981920105 Reassigns benefits to 1 organization
Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

15 E 40TH St
Suite 801
New York, NY 10016-0401

15 E 40TH St
Suite 801
New York, NY 10016-0413
Phone (845) 731-9621

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Healthcare, Inc. CurrentSince Jan 1, 2015 Accepting new patients
Premier Healthcare, Inc. CurrentSince Jan 1, 2015 Accepting new patients

Locations

460 W 34th St
Fl 9
New York, NY 10001
Phone (212) 273-6515

Organizations & group practices 2

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": "1312502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1326327560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 EAST 40TH STREET",
            "address_2": "SUITE 801",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100160401",
            "telephone_number": "845-731-9621",
            "fax_number": "646-619-4787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 EAST 40TH STREET",
            "address_2": "SUITE 801",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100160401",
            "telephone_number": "845-731-9621",
            "fax_number": "646-619-4787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARIOTTI",
        "first_name": "GABRIELE",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-05",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "082774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.