Mary Dae Concepcion, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

44SC06240100 Issued in NJ

Practice address

755 N Main St
Spring Valley, NY 10977-1902

Phone

(845) 708-2000

Fax

(845) 708-7040

NPI assigned

Dec 2, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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, 2015

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mhollender@jawonio.medalliesdirect.net

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.

• Jawonio Inc

  • Community/Behavioral Health Agency
  • Spring Valley, NY
  • NPI 1417235946
  Medicare reassignment NPD
• Jawonio Inc

  • Early Intervention Provider Agency
  • New City, NY
  • NPI 1235209065
  NPD

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

{
    "created_epoch": "1480636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1427591890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 5TH AVE # 1",
            "city": "HAWTHORNE",
            "state": "NJ",
            "postal_code": "075062161",
            "telephone_number": "201-753-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 N MAIN ST",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109771902",
            "telephone_number": "845-708-2000",
            "fax_number": "845-708-7040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONCEPCION",
        "first_name": "MARY",
        "middle_name": "DAE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-02",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "088884",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SC06240100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Comprehensive Applied Behavior Analysis FL PLLC
• Comprehensive Applied Behavior Analysis NJ LLC
• Comprehensive Applied Behavior Analysis PLLC
• Comprehensive Applied Behavior Analysis TX PLLC
• Delsa I Compres, M.D.
• Tamara Concepcion
• Congregation of Hillcrest
• Consultant Medical Care PC
• Kerrie Nanette Cooke, LPN
• Core Care Physical Therapy and Acupuncture,PLLC

• Social Worker in Spring Valley, NY
• Providers in Spring Valley, 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 Oct 31, 2024; 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.