Individual provider Active NPI

Mary Ann McGrath, LCSW

  • Clinical Social Worker
  • N Massapequa, NY
National Provider Identifier
1477542900
Registry record updated Aug 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R041687 Issued in NY
Practice address
187 East Dr
N Massapequa, NY 11758-1609
Phone
(516) 735-6700
Fax
(855) 262-1981
NPI assigned
Oct 18, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2021

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 R041687 NY Primary

Addresses

Primary practice location

187 East Dr
N Massapequa, NY 11758-1609

Mailing address

187 East Dr
North Massapequa, NY 11758-1609
Phone (516) 735-6700

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
I20070613000684 NY Practitioner - Clinical Social Worker 7113025206 Practice locations: N Massapequa, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1130 N Broadway
Suite 140
N Massapequa, NY 11758-1303
Phone (516) 735-6700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R041687NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Ann McGrath, LCSW CurrentSince Jan 21, 2022 Accepting new patients

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": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630281600000",
    "number": "1477542900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 EAST DR",
            "city": "NORTH MASSAPEQUA",
            "state": "NY",
            "postal_code": "117581609",
            "telephone_number": "516-735-6700",
            "fax_number": "855-262-1981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187 EAST DR",
            "city": "N MASSAPEQUA",
            "state": "NY",
            "postal_code": "117581609",
            "telephone_number": "516-735-6700",
            "fax_number": "855-262-1981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGRATH",
        "first_name": "MARY ANN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-18",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R041687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in N Massapequa, NY

Sources for this page

Verify at the official NPI Registry.