Individual provider Active NPI

Mary Zagari Kampf Macleod, PHD, LCSW-R.

  • Clinical Social Worker
  • Rochester, NY
National Provider Identifier
1336529973
Registry record updated Jul 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
080523 Issued in NY
Practice address
95 Allens Creek Road
BLDG 1 Suite 250
Rochester, NY 14618
Phone
(585) 364-2050
NPI assigned
Jun 8, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2020

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 080523 NY Primary

Addresses

Primary practice location

95 Allens Creek Road
BLDG 1 Suite 250
Rochester, NY 14618

Mailing address

95 Allens Creek Road
BLD. 1 Suite 250
Rochester, NY 14618
Phone (585) 364-2050

Other practice location 1

85 S Union St Ste 206B
Spencerport, NY 14559-1255
Phone (585) 364-2050

Other names 1

  • Dr. Mary Zagari Kampf Macleod Professional 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
I20181004000391 NY Practitioner - Clinical Social Worker 2567714496 Reassigns benefits to 3 organizations
Practice locations: Rochester, NY; Spencerport, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

95 Allens Creek Rd
Suite 200
Rochester, NY 14618-3252
Phone (585) 364-2050

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Trillium Health, Inc CurrentSince Jul 1, 2019 Accepting new patients
Tree of Life Counseling, LCSW, PLLC Clinical CurrentSince Apr 22, 2020 Accepting new patients
Trillium Health, Inc CurrentSince Jul 1, 2019 Accepting new patients
Senior Living Behavioral Health LCSW PLLC Clinical CurrentSince Sep 1, 2018 Accepting new patients

Locations

4071 Hardt Rd
Eden, NY 14057
Phone (716) 992-4466

95 Allens Creek Rd
Ste 250
Rochester, NY 14618
Phone (585) 364-2050

95 Allens Creek Rd
Ste 200
Rochester, NY 14618
Phone (585) 364-2050

259 Monroe Ave
Rochester, NY 14607
Phone (585) 325-2280

Organizations & group practices 4

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": "1433721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594598400000",
    "number": "1336529973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 ALLENS CREEK ROAD",
            "address_2": "BLD. 1 SUITE 250",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14618",
            "telephone_number": "585-364-2050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 ALLENS CREEK ROAD",
            "address_2": "BLDG 1 SUITE 250",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14618",
            "telephone_number": "585-364-2050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "85 S Union St Ste 206B",
            "address_purpose": "LOCATION",
            "city": "Spencerport",
            "state": "NY",
            "postal_code": "145591255",
            "country_code": "US",
            "telephone_number": "585-364-2050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACLEOD",
        "first_name": "MARY",
        "middle_name": "ZAGARI KAMPF",
        "name_prefix": "Dr.",
        "credential": "PHD, LCSW-R.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-08",
        "last_updated": "2020-07-13",
        "certification_date": "2020-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "080523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "MACLEOD",
            "middle_name": "ZAGARI KAMPF",
            "prefix": "DR.",
            "credential": "PHD,LCSW-R, ACS, CGP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.