Individual provider Active NPI

Michael Mashberg Mashberg, L.C.S.W.

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1417070301
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
072378-PR Issued in NY
Practice address
160 Cabrini Blvd
Apartment 138
New York, NY 10033-1137
Phone
(646) 281-5314
NPI assigned
Apr 7, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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 072378-PR NY Primary

Addresses

Primary practice location

160 Cabrini Blvd
Apartment 138
New York, NY 10033-1137

Mailing address

160 Cabrini Blvd
Apartment 138
New York, NY 10033-1137
Phone (646) 281-5314

Other identifiers 7

IdentifierTypeStateIssuer
190122000057OtherFIDELIS
9305158OtherAETNA
754455OtherNYBEACON
754455OtherBEACON
MEDICAREOtherA300200191
01994210MedicaidNY
A300200191OtherMEDICARE

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
I20180814003802 NY Practitioner - Clinical Social Worker 1850640533 Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1995
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

160 Cabrini Blvd
Apt 138
New York, NY 10033-1125
Phone (646) 281-5314

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
072378-PRNYMDClinical Social Worker
072378NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1175904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1417070301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 CABRINI BLVD",
            "address_2": "APARTMENT 138",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100331137",
            "telephone_number": "646-281-5314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 CABRINI BLVD",
            "address_2": "APARTMENT 138",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100331137",
            "telephone_number": "646-281-5314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASHBERG",
        "first_name": "MICHAEL",
        "middle_name": "MASHBERG",
        "name_prefix": "Mr.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-07",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "072378-PR",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS",
            "identifier": "190122000057",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9305158",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEACON",
            "identifier": "754455",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEACON",
            "identifier": "754455",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "A300200191",
            "identifier": "MEDICARE",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01994210",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "A300200191",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.