Mary Lourdes Ciccarone, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

877 Madison Ave
Albany, NY 12208-3321

Phone

(518) 482-8856

Fax

(518) 489-5839

NPI assigned

Mar 19, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Clearwater Counseling Associates LCSW PLLCGroup PAC ID 4082900188, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Clearwater Counseling Associates LCSW, PLLC

  • Community/Behavioral Health Agency
  • Hyde Park, NY
  • NPI 1700236775
  Medicare reassignment Care Compare group NPD
• Jewish Family Services of Northeastern New York

  • Community/Behavioral Health Agency
  • Albany, NY
  • NPI 1548418502
  NPD (past)

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

{
    "created_epoch": "1332115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332115200000",
    "number": "1407121858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "877 MADISON AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083321",
            "telephone_number": "518-482-8856",
            "fax_number": "518-489-5839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "877 MADISON AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083321",
            "telephone_number": "518-482-8856",
            "fax_number": "518-489-5839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CICCARONE",
        "first_name": "MARY",
        "middle_name": "LOURDES",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-19",
        "last_updated": "2012-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Soyoung Chung, NP
• Shannon Church
• Taryn Lesvia Cianfarani, M.S., CCC-SLP
• Anthony Ciaramella
• Michael Francis Ciccarelli Jr., D.O.
• Tristan Cichocki
• Douglas Paul Cichon, R.PH.
• Josnel Cid
• Joni Tomlinson Cifarelli, LCSW
• Barbara Cin

• Clinical Social Worker in Albany, NY
• Providers in Albany, 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 Mar 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.