Individual provider Active NPI

Marci Zaslav, LCSW

  • Clinical Social Worker
  • Old Bethpage, NY
National Provider Identifier
1790791549
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R033904-1 Issued in NY
Practice address
4 John Dr
Old Bethpage, NY 11804-1506
Phone
(516) 420-7224
NPI assigned
Aug 1, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 R033904-1 NY Primary

Addresses

Primary practice location

4 John Dr
Old Bethpage, NY 11804-1506

Mailing address

4 John Dr
Old Bethpage, NY 11804-1506

Other identifiers 1

IdentifierTypeStateIssuer
7402821OtherGHI/VALUE OPTIONS

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
I20070620000613 NY Practitioner - Clinical Social Worker 8022117795 Practice locations: Old Bethpage, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4 John Dr
Old Bethpage, NY 11804-1506
Phone (516) 695-3183

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R033904-1NYMDClinical Social Worker
033904NYMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790791549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 JOHN DR",
            "city": "OLD BETHPAGE",
            "state": "NY",
            "postal_code": "118041506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 JOHN DR",
            "city": "OLD BETHPAGE",
            "state": "NY",
            "postal_code": "118041506",
            "telephone_number": "516-420-7224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZASLAV",
        "first_name": "MARCI",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R033904-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI/VALUE OPTIONS",
            "identifier": "7402821",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Old Bethpage, NY

Sources for this page

Verify at the official NPI Registry.