Mary Giudice, LCSW CASAC

Primary specialty

Social WorkerTaxonomy code 104100000X

License

R0409191 Issued in NY

Practice address

159 Fremont Ave
Si, NY 10306-3224

Phone

(718) 980-2048

Fax

(718) 980-2048

NPI assigned

Dec 29, 2006

Last updated

Dec 22, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292976000000",
    "number": "1376609628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 FREMONT AVE",
            "city": "SI",
            "state": "NY",
            "postal_code": "103063224",
            "telephone_number": "718-980-2048",
            "fax_number": "718-980-2048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 FREMONT AVE",
            "city": "SI",
            "state": "NY",
            "postal_code": "103063224",
            "telephone_number": "718-980-2048",
            "fax_number": "718-980-2048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIUDICE",
        "first_name": "MARY",
        "name_prefix": "Ms.",
        "credential": "LCSW CASAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-29",
        "last_updated": "2010-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "R0409191",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SC00357400",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101351115",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014458581",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bodies in Motion Physical Therapy (Bernice Cuscuna)
• Marcia Cohen
• Maureen Staines Egan, OTR
• First Staten Island Senior Daycare Center Inc
• Emanuel Graziano, DDS
• Alan S. Ingber, DDS
• Orthotic and Prosthetic Services Inc.
• Richmond Orthopaedic
• Samar Mohamed Soliman, DPT

• Social Worker in Si, NY
• Providers in Si, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2010; 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.