Active NPI
Mary Elizabeth Ewers, LCSW
- Clinical Social Worker
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 101537
- Practice address
- 109 W 27TH St RM 5S
New York, NY 10001-6208 - Phone
- (833) 351-8255
- NPI assigned
- Feb 7, 2014
- Last updated
- Sep 2, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CSW010480 | GA | |
| Clinical Social Worker | 1041C0700X | 6801097103 | MI | |
| Clinical Social Worker | 1041C0700X | 101537 | NY | Primary |
Addresses
Primary practice location
109 W 27TH St RM 5S
New York, NY 10001-6208
Mailing address
PO Box 24449
New York, NY 10087-0589
Phone (833) 351-8255
Other practice location 1
1714 Heath Markham Rd
Lima, NY 14485-9530
Phone (585) 355-7019
Other practice location 2
4550 N Point Pkwy Fl 2
Alpharetta, GA 30022-2445
Phone (833) 351-8255
Other practice location 3
455 E Eisenhower Pkwy Ste 300
Ann Arbor, MI 48108-3324
Phone (833) 351-8255
Other names 1
- Mary Boerjan
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2012
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
New York, NY 10087
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CSW010480 | GA | MD | Clinical Social Worker |
| 6801097103 | MI | MD | Clinical Social Worker |
| 101537 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCCD Psychiatry Services PLLC | Current | Accepting new patients |
Locations
109 W 27th St
#55
New York, NY 10001
109 W 27th St
Rm 5S
New York, NY 10001
Phone (332) 230-4572
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": "1391731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788307200000",
"number": "1588088876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 24449",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100870589",
"telephone_number": "833-351-8255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 W 27TH ST RM 5S",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100016208",
"telephone_number": "833-351-8255"
}
],
"practiceLocations": [
{
"address_1": "1714 Heath Markham Rd",
"address_purpose": "LOCATION",
"city": "Lima",
"state": "NY",
"postal_code": "144859530",
"country_code": "US",
"telephone_number": "585-355-7019",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4550 N Point Pkwy Fl 2",
"address_purpose": "LOCATION",
"city": "Alpharetta",
"state": "GA",
"postal_code": "300222445",
"country_code": "US",
"telephone_number": "833-351-8255",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "455 E Eisenhower Pkwy Ste 300",
"address_purpose": "LOCATION",
"city": "Ann Arbor",
"state": "MI",
"postal_code": "481083324",
"country_code": "US",
"telephone_number": "833-351-8255",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EWERS",
"first_name": "MARY",
"middle_name": "ELIZABETH",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-02-07",
"last_updated": "2026-09-02",
"certification_date": "2026-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "CSW010480",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801097103",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "101537",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARY",
"last_name": "BOERJAN",
"credential": "LMSW",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.