Individual provider Active NPI

Mariela Altagracia Delacruz, LCSW

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1508450255
Registry record updated Feb 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
099110-01 Issued in NY
Practice address
2020 Coney Island Ave
Brooklyn, NY 11223-2329
Phone
(718) 676-4280
NPI assigned
Feb 23, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 110158 NY
Clinical Social Worker 1041C0700X 099110-01 NY Primary

Addresses

Primary practice location

2020 Coney Island Ave
Brooklyn, NY 11223-2329

Mailing address

2020 Coney Island Ave
Brooklyn, NY 11223-2329

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
I20250219001493 NY Practitioner - Clinical Social Worker 4385164557 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
New York University School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Catholic Charities Neighborhood Services IncGroup PAC ID 4880506260, 11 clinicians

Practice addresses (Care Compare)

1623 Kings Hwy
Brooklyn, NY 11229-1209
Phone 9292737601426

9114 37TH Ave
Jackson Heights, NY 11372-7920
Phone (718) 779-1600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
110158NYMDSocial Worker
099110-01NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Interborough Developmental and Consultation Center, Inc. Social Worker CurrentSince Nov 30, 2025 Accepting new patients
Interborough Developmental and Consultation Center, Inc. CurrentSince Nov 30, 2025 Accepting new patients
Catholic Charities Neighborhood Services, Inc. CurrentSince Dec 17, 2024 Accepting new patients
Catholic Charities Neigborhood Services Clinical Past Accepting new patients

Locations

191 Joralemon St
Brooklyn, NY 11201
Phone (718) 722-6000

1623 Flatbush Ave
Brooklyn, NY 11210
Phone (718) 377-5755

1623 Kings Hwy
Brooklyn, NY 11229
Phone (718) 307-6800

191 Joralemon St
Fl 11
Brooklyn, NY 11201

6729 Myrtle Ave
Glendale, NY 11385
Phone (718) 456-7001

9114 37th Ave
Jackson Heights, NY 11372
Phone (718) 722-6001

7815 Jamaica Ave
Woodhaven, NY 11421
Phone (718) 296-7918

Organizations & group practices 4

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": "1614038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739491200000",
    "number": "1508450255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 CONEY ISLAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112232329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 CONEY ISLAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112232329",
            "telephone_number": "718-676-4280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELACRUZ",
        "first_name": "MARIELA",
        "middle_name": "ALTAGRACIA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-23",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "110158",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "099110-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.