Individual provider Active NPI

Lauren Mariotti, LCSW

  • Clinical Social Worker
  • Warwick, NY
National Provider Identifier
1760812598
Registry record updated Jun 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
086915-1 Issued in NY
Practice address
58 Jessup Rd
Warwick, NY 10990-2540
Phone
(516) 659-7812
NPI assigned
Nov 14, 2013
Last updated
Jun 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 088814 NY
Clinical Social Worker 1041C0700X 086915-1 NY Primary

Addresses

Primary practice location

58 Jessup Rd
Warwick, NY 10990-2540

Mailing address

58 Jessup Rd
Warwick, NY 10990-2540
Phone (516) 659-7812

Other practice location 1

651 Academy St
New York, NY 10034-5003
Phone (212) 942-0043 ext. 154

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Previously, effective Sep 12, 2024 through Sep 12, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
086915-1NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1384387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654128000000",
    "number": "1760812598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 JESSUP RD",
            "city": "WARWICK",
            "state": "NY",
            "postal_code": "109902540",
            "telephone_number": "516-659-7812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 JESSUP RD",
            "city": "WARWICK",
            "state": "NY",
            "postal_code": "109902540",
            "telephone_number": "516-659-7812"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "651 Academy St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100345003",
            "country_code": "US",
            "telephone_number": "212-942-0043 x154",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARIOTTI",
        "first_name": "LAUREN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-14",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "088814",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "086915-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, NY

Sources for this page

Verify at the official NPI Registry.