Individual provider Active NPI

Maria Ann Muscente, LCSW-R

  • Clinical Social Worker
  • Ithaca, NY
National Provider Identifier
1457451163
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
053368-1 Issued in NY
Practice address
121 W Court St Ste 101
Ithaca, NY 14850-4105
Phone
(607) 351-1562
NPI assigned
Sep 23, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 053368-1 NY Primary

Addresses

Primary practice location

121 W Court St Ste 101
Ithaca, NY 14850-4105

Mailing address

121 W Court St Ste 101
Ithaca, NY 14850-4105
Phone (607) 351-1562

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
I20190429002000 NY Practitioner - Clinical Social Worker 9739421405 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
May accept Medicare assignment
Group practices
Shakespeare and Muscente LCSW PLLCGroup PAC ID 3870834013, 4 clinicians

Practice addresses (Care Compare)

121 W Court St
Suite 101
Ithaca, NY 14850-4105
Phone (607) 256-4422

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
053368-1NYMDClinical Social Worker

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1158969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1457451163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 W COURT ST STE 101",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148504105",
            "telephone_number": "607-351-1562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 W COURT ST STE 101",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148504105",
            "telephone_number": "607-351-1562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSCENTE",
        "first_name": "MARIA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-23",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "053368-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ithaca, NY

Sources for this page

Verify at the official NPI Registry.