Individual provider Active NPI

Mary Elizabeth Stone, LCSW

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1508137035
Registry record updated Dec 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
084484 Issued in NY
Practice address
177 Baltic St # 2
Brooklyn, NY 11201-6173
Phone
(917) 607-6461
NPI assigned
Jan 13, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2023

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 084484 NY Primary

Addresses

Primary practice location

177 Baltic St # 2
Brooklyn, NY 11201-6173

Mailing address

177 Baltic St # 2
Brooklyn, NY 11201-6173
Phone (917) 607-6461

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
I20211210000504 NY Practitioner - Clinical Social Worker 7911397716 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
New York Medical College, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

26 Court St
Suite 409
Brooklyn, NY 11242-1134
Phone (917) 607-6461

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Bridge, Inc. CurrentSince Oct 7, 2021 Accepting new patients
Marystonelcswllc Clinical CurrentSince Oct 1, 2023 Accepting new patients
Shine Medical Providers PC Past Accepting new patients

Locations

26 Court St
Ste 409
Brooklyn, NY 11242
Phone (212) 405-2685

290 Lenox Ave
Fl 3
New York, NY 10027
Phone (870) 476-6003

290 Lenox Ave
New York, NY 10027
Phone (646) 492-5341

248 W 108th St
New York, NY 10025
Phone (212) 663-3001

Organizations & group practices 3

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": "1326412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702598400000",
    "number": "1508137035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "177 BALTIC ST # 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112016173",
            "telephone_number": "917-607-6461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 BALTIC ST # 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112016173",
            "telephone_number": "917-607-6461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STONE",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-13",
        "last_updated": "2023-12-15",
        "certification_date": "2023-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "084484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.