Active NPI
Marcella St Clair, LCSW
- Social Worker
- Brooklyn, NY
National Provider Identifier
1740343144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- R042593-1
- Practice address
- 887 E New York Ave
Brooklyn, NY 11203-1309 - Phone
- (718) 467-6441
- Fax
- (718) 498-6868
- NPI assigned
- Dec 18, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | R042593-1 | NY | Primary |
Addresses
Primary practice location
887 E New York Ave
Brooklyn, NY 11203-1309
Mailing address
One Brookdale Plaza , Child Outpatient Psyc ,12TH Floor
Brookdale Hospital Medical Center
Brooklyn, NY 11212-3198
Phone (718) 240-5479
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0024931 | Medicaid | NY |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R042593-1 | NY | MD | Social Worker |
| 042593 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383264000000",
"number": "1740343144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ONE BROOKDALE PLAZA , CHILD OUTPATIENT PSYC ,12TH FLOOR",
"address_2": "BROOKDALE HOSPITAL MEDICAL CENTER",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112123198",
"telephone_number": "718-240-5479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "887 E NEW YORK AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112031309",
"telephone_number": "718-467-6441",
"fax_number": "718-498-6868"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ST CLAIR",
"first_name": "MARCELLA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-18",
"last_updated": "2013-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "R042593-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0024931",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.