Individual provider Active NPI

Mary Irene Silverman, LCSW

  • Clinical Social Worker
  • Rockville Centre, NY
National Provider Identifier
1699443572
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
096105 Issued in NY
Practice address
165 N Village Ave Ste 132
Rockville Centre, NY 11570-3763
Phone
(516) 350-8564
NPI assigned
Sep 3, 2021
Last updated
Oct 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2024

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 096105 NY Primary

Addresses

Primary practice location

165 N Village Ave Ste 132
Rockville Centre, NY 11570-3763

Mailing address

142 Chicago Ave
Massapequa, NY 11758-4638
Phone (516) 477-9743

Other practice location 1

480 Old Westbury Rd
Roslyn Heights, NY 11577-2215
Phone (516) 626-1971 ext. 392

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
I20240409004246 NY Practitioner - Clinical Social Worker 0345688370 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Fordham University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nassau Psychology, P.C.Group PAC ID 1951690254, 23 clinicians

Practice addresses (Care Compare)

123 Grove Ave
Suite 216
Cedarhurst, NY 11516-2302
Phone (516) 350-8564

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore Child and Family Guidance Association Incorporated CurrentSince Sep 1, 2021 Accepting new patients
Nassau Psychology, P.C. CurrentSince Feb 26, 2024 Accepting new patients

Locations

123 Grove Ave
Ste 216
Cedarhurst, NY 11516
Phone (516) 569-5200

165 N Village Ave
Ste 12
Rockville Ctr, NY 11570
Phone (516) 594-2111

165 N Village Ave
Ste 132
Rockville Ctr, NY 11570
Phone (516) 766-5851

480 Old Westbury Rd
Roslyn Hts, NY 11577
Phone (516) 626-1971

Organizations & group practices 2

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": "1630627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1699443572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 CHICAGO AVE",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117584638",
            "telephone_number": "516-477-9743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 N VILLAGE AVE STE 132",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115703763",
            "telephone_number": "516-350-8564"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "480 Old Westbury Rd",
            "address_purpose": "LOCATION",
            "city": "Roslyn Heights",
            "state": "NY",
            "postal_code": "115772215",
            "country_code": "US",
            "telephone_number": "516-626-1971 x392",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SILVERMAN",
        "first_name": "MARY",
        "middle_name": "IRENE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-03",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "096105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville Centre, NY

Sources for this page

Verify at the official NPI Registry.