Individual provider Active NPI

Marcia G. Weisman, LCSW

  • Clinical Social Worker
  • Forest Hills, NY
National Provider Identifier
1558364554
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
PRO13130 Issued in NY
Practice address
7136 110TH St
Forest Hills, NY 11375-4852
Phone
(718) 268-1634
NPI assigned
May 23, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 PRO13130 NY Primary

Addresses

Primary practice location

7136 110TH St
Forest Hills, NY 11375-4852

Mailing address

11 Cross St
Sea Cliff, NY 11579-2122
Phone (516) 676-8516

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
I20100222000707 NY Practitioner - Clinical Social Worker 8527102011 Practice locations: Forest Hills, NY; Sea Cliff, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11 Cross St
Sea Cliff, NY 11579-2122
Phone (516) 676-8516

7136 110TH St
1K
Forest Hills, NY 11375-4838
Phone (718) 268-1634

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PRO13130NYMDClinical Social Worker
013130NYMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1558364554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 CROSS ST",
            "city": "SEA CLIFF",
            "state": "NY",
            "postal_code": "115792122",
            "telephone_number": "516-676-8516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7136 110TH ST",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754852",
            "telephone_number": "718-268-1634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISMAN",
        "first_name": "MARCIA",
        "middle_name": "G.",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-23",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "PRO13130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

Verify at the official NPI Registry.