Active NPI
Mary Bess Bocchino, LCSW
- Clinical Social Worker
- Austin, TX
National Provider Identifier
1700215100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 68612
- Practice address
- 4553 Guadalupe St Apt B301
Austin, TX 78751-2955 - Phone
- (203) 610-3102
- NPI assigned
- Nov 6, 2013
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 089508-1 | NY | |
| Clinical Social Worker | 1041C0700X | 085366 | NY | |
| Clinical Social Worker | 1041C0700X | 68612 | TX | Primary |
Addresses
Primary practice location
4553 Guadalupe St Apt B301
Austin, TX 78751-2955
Mailing address
4553 Guadalupe St Apt B301
Austin, TX 78751-2955
Phone (203) 610-3102
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 089508-1 | NY | MD | Social Worker |
| 085366 | NY | MD | Clinical Social Worker |
| 68612 | TX | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572998400000",
"number": "1700215100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4553 GUADALUPE ST APT B301",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787512955",
"telephone_number": "203-610-3102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4553 GUADALUPE ST APT B301",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787512955",
"telephone_number": "203-610-3102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOCCHINO",
"first_name": "MARY",
"middle_name": "BESS",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-06",
"last_updated": "2019-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "089508-1",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "085366",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "68612",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.