Individual provider Active NPI

Margaret Mary Slayback, LCSW-R, CASAC

  • Clinical Social Worker
  • Massapequa, NY
National Provider Identifier
1801062252
Registry record updated May 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R-031242 Issued in NY
Practice address
707 Broadway
Massapequa, NY 11758-2327
Phone
(516) 885-6255
NPI assigned
May 6, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1648 NY
Clinical Social Worker 1041C0700X R-031242 NY Primary

Addresses

Primary practice location

707 Broadway
Massapequa, NY 11758-2327

Mailing address

605 Warwick Ave
Copiague, NY 11726-3711
Phone (516) 885-6255

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
I20160120000871 NY Practitioner - Clinical Social Worker 5395048664 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Community Counseling and LCSW ServicesGroup PAC ID 3577605617, 17 clinicians

Practice addresses (Care Compare)

234 Main St
Center Moriches, NY 11934-3514
Phone (631) 874-0185

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1648NYMDAddiction (Substance Use Disorder) Counselor
R-031242NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
New Horizon Counseling Center Inc CurrentSince May 1, 2022 Accepting new patients
Outreach Development Corporation Addiction (Substance Use Disorder) CurrentSince Jan 21, 2020 Accepting new patients
Qureshi Medical Services PLLC PastSince Dec 1, 2024 Accepting new patients

Locations

445 Oak St
Copiague, NY 11726
Phone (631) 257-5173

11711 Myrtle Ave
Richmond Hill, NY 11418
Phone (718) 847-9233

10819 Rockaway Blvd
South Ozone Park, NY 11420
Phone (718) 327-7202

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1210032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210032000000",
    "number": "1801062252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 WARWICK AVE",
            "city": "COPIAGUE",
            "state": "NY",
            "postal_code": "117263711",
            "telephone_number": "516-885-6255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 BROADWAY",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117582327",
            "telephone_number": "516-885-6255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLAYBACK",
        "first_name": "MARGARET",
        "middle_name": "MARY",
        "credential": "LCSW-R, CASAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-06",
        "last_updated": "2008-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "1648",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R-031242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Massapequa, NY

Sources for this page

Verify at the official NPI Registry.