Individual provider Active NPI

Mark McGrosky

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1477856599
Registry record updated Dec 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R071169-1 Issued in NY
Practice address
595 Main St
Apt. # 1015
New York, NY 10044-0053
Phone
(212) 223-3227
NPI assigned
Dec 11, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2010

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 R071169-1 NY Primary

Addresses

Primary practice location

595 Main St
Apt. # 1015
New York, NY 10044-0053

Mailing address

595 Main St
Apt. # 1015
New York, NY 10044-0053
Phone (212) 223-3227

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20130710000021 PA Practitioner - Clinical Social Worker 6406829159 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R071169-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Delaware County Professional Services, Inc CurrentSince Apr 1, 2023 Accepting new patients

Locations

1370 Washington Pike
Ste 303
Bridgeville, PA 15017
Phone (412) 206-0123

230 N Craig St
Ste B
Pittsburgh, PA 15213
Phone (412) 621-3777

780 E Market St
West Chester, PA 19382
Phone (425) 908-0237

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.markmcgrosky@141748.advancedmd-direct.com

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": "1292025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292025600000",
    "number": "1477856599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 MAIN ST",
            "address_2": "APT. # 1015",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100440053",
            "telephone_number": "212-223-3227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 MAIN ST",
            "address_2": "APT. # 1015",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100440053",
            "telephone_number": "212-223-3227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGROSKY",
        "first_name": "MARK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-12-11",
        "last_updated": "2010-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R071169-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.