Mary Ozegovich LCSW PC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R0453061 Issued in NY

Legal business name

MARY OZEGOVICH LCSW PC

Practice address

6 Suffolk LN
East Islip, NY 11730-2210

Phone

(631) 650-5580

Fax

(631) 277-2787

NPI assigned

Sep 21, 2007

Last updated

Sep 21, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mary Ozegovich, LCSWNPI 1184786170

Title

Owner/President

Phone

(631) 650-5580

Specialties & licenses 1

Addresses

Other identifiers 4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mary Ozegovich, L.C.S.W.

  • Clinical Social Worker
  • East Islip, NY
  • NPI 1184786170
  Authorized official Same address or phone

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

{
    "created_epoch": "1190332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190332800000",
    "number": "1336335579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 SUFFOLK LN",
            "city": "EAST ISLIP",
            "state": "NY",
            "postal_code": "117302210",
            "telephone_number": "631-650-5580",
            "fax_number": "631-277-2787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 SUFFOLK LN",
            "city": "EAST ISLIP",
            "state": "NY",
            "postal_code": "117302210",
            "telephone_number": "631-650-5580",
            "fax_number": "631-277-2787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY OZEGOVICH LCSW PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-21",
        "last_updated": "2007-09-21",
        "status": "A",
        "authorized_official_last_name": "OZEGOVICH",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "631-650-5580",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R0453061",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI NY",
            "identifier": "7483559",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH PLANS",
            "identifier": "P575344",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP GREATER NY",
            "identifier": "045306",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "082497",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew F Mangione, PT
• Tracy Lynn Marino, LMT
• Sarah N Marrero
• Fallon Kathleen Martensen
• Shane Thomas Martensen
• Suzanne Mason-Grossmann, MHC
• Bakul N Matalia, R.PH.
• Matthew Colucci P.T.,P.C.
• Melani Ann Maxwell
• Christopher B McCarthy, PHYSICAL THERAPIST

• Clinical Social Worker in East Islip, NY
• Providers in East Islip, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.