Individual provider Active NPI

Chrisandra Mareus, LCSW

  • Clinical Social Worker
  • Rochester, NY
National Provider Identifier
1407217730
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
097324-01 Issued in NY
Practice address
2024 W Henrietta Rd Ste 2a
Rochester, NY 14623-1357
Phone
(585) 210-0775
NPI assigned
Mar 15, 2016
Last updated
May 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X 72 088784 NY
Clinical Social Worker 1041C0700X 097324-01 NY Primary

Addresses

Primary practice location

2024 W Henrietta Rd Ste 2a
Rochester, NY 14623-1357

Mailing address

2024 W Henrietta Rd Ste 2a
Rochester, NY 14623-1357
Phone (585) 210-0775

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
I20230323001955 NY Practitioner - Clinical Social Worker 9931573490 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
097324-01NYMDClinical Social Worker
72 088784NYMDSchool Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sankofa Family Counseling Services, LCSW P.L.L.C. Clinical CurrentSince Nov 16, 2022 Accepting new patients
New Path Counseling Services, LCSW PLLC CurrentSince Aug 16, 2025 Accepting new patients

Locations

1400 Portland Ave
Ste 54
Rochester, NY 14621
Phone (585) 491-6646

215 Tremont St
Rochester, NY 14608
Phone (585) 201-4914

2024 W Henrietta Rd
Ste 2A
Rochester, NY 14623
Phone (585) 210-0775

1400 Portland Ave
Ste 23B
Rochester, NY 14621
Phone (585) 491-6646

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1458000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1407217730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2024 W HENRIETTA RD STE 2A",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146231357",
            "telephone_number": "585-210-0775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2024 W HENRIETTA RD STE 2A",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146231357",
            "telephone_number": "585-210-0775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAREUS",
        "first_name": "CHRISANDRA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-15",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NY",
            "license": "72 088784",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "097324-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.