Individual provider Active NPI

Mary Alyce Rogers, LCSW-R

  • Clinical Social Worker
  • Westhampton Beach, NY
National Provider Identifier
1558809640
Registry record updated Feb 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R058323-1 Issued in NY
Practice address
10 Oak St
Unit #4
Westhampton Beach, NY 11978-2000
Phone
(631) 882-6129
NPI assigned
Feb 8, 2017
Last updated
Feb 8, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2017

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 R058323-1 NY Primary

Addresses

Primary practice location

10 Oak St
Unit #4
Westhampton Beach, NY 11978-2000

Mailing address

PO Box 825
Westhampton, NY 11977-0825
Phone (631) 882-6129

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
I20170608000184 NY Practitioner - Clinical Social Worker 8224306667 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New Hope Rising IncGroup PAC ID 3274801618, 3 clinicians

Practice addresses (Care Compare)

64 Old Riverhead Rd
Unit a
Westhampton Beach, NY 11978-1451
Phone (631) 336-9990

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R058323-1NYMDClinical Social Worker
058323NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
New Hope Rising, Inc CurrentSince Jun 1, 2017 Accepting new patients

Locations

64 Old Riverhead Rd
Westhampton Beach, NY 11978
Phone (631) 336-9990

64 Old Riverhead Rd
Unit A
Westhampton Beach, NY 11978
Phone (631) 336-9990

Organizations & group practices 1

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": "1486512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486512000000",
    "number": "1558809640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 825",
            "city": "WESTHAMPTON",
            "state": "NY",
            "postal_code": "119770825",
            "telephone_number": "631-882-6129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 OAK ST",
            "address_2": "UNIT #4",
            "city": "WESTHAMPTON BEACH",
            "state": "NY",
            "postal_code": "119782000",
            "telephone_number": "631-882-6129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "MARY ALYCE",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-08",
        "last_updated": "2017-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R058323-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westhampton Beach, NY

Sources for this page

Verify at the official NPI Registry.