Individual provider Active NPI

Margaret Scopelliti-Mastrandrea, LCSW-R

  • Clinical Social Worker
  • Oceanside, NY
National Provider Identifier
1497934152
Registry record updated Apr 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R049165 Issued in NY
Practice address
2800 Morton Ave
Oceanside, NY 11572-2346
Phone
(516) 297-1856
Fax
(516) 766-7415
NPI assigned
Oct 30, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2015

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 R049165 NY Primary

Addresses

Primary practice location

2800 Morton Ave
Oceanside, NY 11572-2346

Mailing address

2800 Morton Ave
Oceanside, NY 11572-2346
Phone (516) 297-1856

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R049165NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430352000000",
    "number": "1497934152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 MORTON AVE",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115722346",
            "telephone_number": "516-297-1856",
            "fax_number": "516-766-7415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 MORTON AVE",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115722346",
            "telephone_number": "516-297-1856",
            "fax_number": "516-766-7415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOPELLITI-MASTRANDREA",
        "first_name": "MARGARET",
        "name_prefix": "Mrs.",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-30",
        "last_updated": "2015-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R049165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.