Individual provider Active NPI

Marianne J Decesare, LCSW

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1770662215
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R036091-R Issued in NY
Practice address
220 Congress St Apt 5D
Suite 5D
Brooklyn, NY 11201-6562
Phone
(718) 852-0005
NPI assigned
Nov 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 R036091-R NY Primary

Addresses

Primary practice location

220 Congress St Apt 5D
Suite 5D
Brooklyn, NY 11201-6562

Mailing address

220 Congress St
Suite 5D
Brooklyn, NY 11201-6466
Phone (718) 852-0005

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20070130000358 NY Practitioner - Clinical Social Worker 8921009259 Practice locations: Brooklyn, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

220 Congress St
Brooklyn, NY 11201-6562
Phone (718) 852-0005

220 Congress St Apt
5D Suite 5D
Brooklyn, NY 11201-6562

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R036091-RNYMDClinical Social Worker
036094NYMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1770662215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 CONGRESS ST",
            "address_2": "SUITE 5D",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112016466",
            "telephone_number": "718-852-0005",
            "fax_number": "718-852-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 CONGRESS ST APT 5D",
            "address_2": "SUITE 5D",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112016562",
            "telephone_number": "718-852-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECESARE",
        "first_name": "MARIANNE",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-03",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R036091-R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.