Individual provider Active NPI

Mary Szacik, LCSW

  • Clinical Social Worker
  • Malta, NY
National Provider Identifier
1528542255
Registry record updated Sep 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
093784 Issued in NY
Practice address
2452 US RT. 9
Suite 206
Malta, NY 12020
Phone
(518) 292-5433
Fax
(518) 899-4930
NPI assigned
Sep 19, 2018
Last updated
Sep 8, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 096714 NY
Clinical Social Worker 1041C0700X 093784 NY Primary

Addresses

Primary practice location

2452 US RT. 9
Suite 206
Malta, NY 12020

Mailing address

43 Westside Dr
Ballston Lake, NY 12019-2025
Phone (541) 915-5714

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
I20221014000133 NY Practitioner - Clinical Social Worker 2567838667 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
093784NYMDClinical Social Worker
096714NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ammonite Counseling LCSW CurrentSince Oct 1, 2023 Accepting new patients
Parsons Child and Family Center CurrentSince Jul 6, 2022 Accepting new patients
Parsons Child and Family Center PastSince Sep 11, 2022 Accepting new patients

Locations

60 Academy Rd
Albany, NY 12208
Phone (518) 653-7306

258 Ushers Rd
Ste 203
Clifton Park, NY 12065
Phone (518) 383-3356

401 New Karner Rd
Colonie, NY 12205
Phone (518) 456-3614

2452 State Route 9
Ste 206
Malta, NY 12020
Phone (518) 292-5433

2452 Rte 9
Ste 206
Mechanicville, NY 12118

2452 Rte 9
Ste 206
Mechanicville, NY 12118
Phone (518) 292-5433

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1537315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662595200000",
    "number": "1528542255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 WESTSIDE DR",
            "city": "BALLSTON LAKE",
            "state": "NY",
            "postal_code": "120192025",
            "telephone_number": "541-915-5714",
            "fax_number": "518-899-4930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2452 US RT. 9",
            "address_2": "SUITE 206",
            "city": "MALTA",
            "state": "NY",
            "postal_code": "12020",
            "telephone_number": "518-292-5433",
            "fax_number": "518-899-4930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SZACIK",
        "first_name": "MARY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-19",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "096714",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "093784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Malta, NY

Sources for this page

Verify at the official NPI Registry.