Active NPI
Margaret Mary Slayback, LCSW-R, CASAC
- Clinical Social Worker
- Massapequa, NY
National Provider Identifier
1801062252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R-031242
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1648 | NY | MD | Addiction (Substance Use Disorder) Counselor |
| R-031242 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Horizon Counseling Center Inc | Current | Accepting new patients | |
| Outreach Development Corporation | Addiction (Substance Use Disorder) | Current | Accepting new patients |
| Qureshi Medical Services PLLC | Past | 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.
-
- Clinical Social Worker
- Center Moriches, NY
- NPI 1770819690
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- South Ozone Park, NY
- NPI 1366430563
-
- Addiction (Substance Use Disorder) Counselor
- Richmond Hill, NY
- NPI 1083717326
-
- Clinical Social Worker
- Mastic Beach, NY
- NPI 1851116321
-
- Psychiatry Physician
- Center Moriches, NY
- NPI 1316763162
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2008; 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.