Shirley Mazourek, MSW, LCSW-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

074963 Issued in NY

Practice address

1010 Main Street
Ecmc Outpatient Clinic
Buffalo, NY 14202

Phone

(716) 898-1675

Fax

(716) 898-1311

NPI assigned

Dec 19, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Clinical Social Worker

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ub Family Medicine IncGroup PAC ID 1658361381, 37 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Ub Family Medicine, Inc

  • Family Medicine Physician
  • Williamsville, NY
  • NPI 1942294467
  Medicare reassignment Care Compare group NPD
• Western New York Licensed Clinical Social Work Services, PLLC

  • Clinical Social Worker
  • Williamsville, NY
  • NPI 1316648710
  Medicare reassignment NPD Authorized official
• Western New York Licensed Clinical Social Work Services PLLC

  • Mental Health Counselor
  • Williamsville, NY
  • NPI 1780350074

  Clinical

  NPD Authorized official
• University Emergency Medical Services Inc.

  • Emergency Medicine Physician
  • Buffalo, NY
  • NPI 1972540482
  NPD
• Suburban Psychiatric Associates, LLP

  • Psychiatry Physician
  • Amherst, NY
  • NPI 1851331367
  NPD (past)
• University Neurology, Inc.

  • Neurology Physician
  • Buffalo, NY
  • NPI 1649293820
  NPD (past)

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411084800000",
    "number": "1760545834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 MAIN STREET",
            "address_2": "ECMC OUTPATIENT CLINIC",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "14202",
            "telephone_number": "716-898-1675",
            "fax_number": "716-898-1311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 MAIN STREET",
            "address_2": "ECMC OUTPATIENT CLINIC",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "14202",
            "telephone_number": "716-898-1675",
            "fax_number": "716-898-1311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZOUREK",
        "first_name": "SHIRLEY",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW-R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2014-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "074963",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0073074963",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine C. Mazgaj, M.A. CCC/SLP/L
• Katelyn Elizabeth Mazgaj, NP
• Shana Mazgaj, FNP
• Mir Mazhar, M.D.
• Thomas Maziarz
• Paula Marie Mazur, MD
• Tom Mazur, PSY.D.
• Melanie Mazurczak, PA
• John Mbaki
• Kai Mbeke, PMHNP

• Clinical Social Worker in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2014; 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.

Verify at the official NPI Registry.