Individual provider Active NPI

Mary A Hosey-Pardi

  • Clinical Social Worker
  • Clinton, NY
National Provider Identifier
1730701038
Registry record updated May 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW13115 Issued in FL
Practice address
75 Chenango Ave
Clinton, NY 13323-1340
Phone
(315) 557-2212
Fax
(315) 557-2216
NPI assigned
May 11, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2020

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 SW13115 FL Primary

Addresses

Primary practice location

75 Chenango Ave
Clinton, NY 13323-1340

Mailing address

75 Chenango Ave
Clinton, NY 13323-1340
Phone (315) 557-2212

Other identifiers 3

IdentifierTypeStateIssuer
3115OtherSOCIAL WORK
3115MedicaidFL
062097OtherNYLMSW

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NC, NY, IA4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20200721001537 FL Practitioner - Clinical Social Worker 8527482785 Reassigns benefits to 2 organizations
I20231024001893 NC Practitioner - Clinical Social Worker 8527482785 Reassigns benefits to 2 organizations
I20231107000936 NY Practitioner - Clinical Social Worker 8527482785 Reassigns benefits to 1 organization
I20250203001178 IA Practitioner - Clinical Social Worker 8527482785 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Direct Access Counseling and Supportive Services LLCGroup PAC ID 3971878398, 11 clinicians

Practice addresses (Care Compare)

223 E Oak St
Arcadia, FL 34266-4445

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Direct Access Counseling & Supportive Services, LLC Clinical CurrentSince Jul 16, 2020 Accepting new patients
Ultima Rehab-FL LLC PastSince May 29, 2019 Accepting new patients

Locations

390 Pondella Rd
Ste 9
North Ft Myers, FL 33903
Phone (239) 652-0260

330 21st St SE
Hickory, NC 28602
Phone (239) 652-0260

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1589155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589155200000",
    "number": "1730701038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 CHENANGO AVE",
            "city": "CLINTON",
            "state": "NY",
            "postal_code": "133231340",
            "telephone_number": "315-557-2212",
            "fax_number": "315-557-2216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 CHENANGO AVE",
            "city": "CLINTON",
            "state": "NY",
            "postal_code": "133231340",
            "telephone_number": "315-557-2212",
            "fax_number": "315-557-2216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOSEY-PARDI",
        "first_name": "MARY",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-11",
        "last_updated": "2020-05-11",
        "certification_date": "2020-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW13115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL WORK",
            "identifier": "3115",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3115",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMSW",
            "identifier": "062097",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, NY

Sources for this page

Verify at the official NPI Registry.