Individual provider Active NPI

Mary Paige Siek, LMSW

  • Social Worker
  • New York, NY
National Provider Identifier
1801520283
Registry record updated Jul 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
074909 Issued in NY
Practice address
505 Park Ave Ste 400
New York, NY 10022-9331
Phone
(347) 766-8554
NPI assigned
Jul 12, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 074909 NY Primary

Addresses

Primary practice location

505 Park Ave Ste 400
New York, NY 10022-9331

Mailing address

505 Park Ave Ste 400
New York, NY 10022-9331

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
074909NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Laura Athey-Lloyd, Psy.D., P.L.L.C. CurrentSince Jul 17, 2022 Accepting new patients

Locations

505 Park Ave
Ste 400
New York, NY 10022
Phone (212) 328-9182

Organizations & group practices 1

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": "1657584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657584000000",
    "number": "1801520283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 PARK AVE STE 400",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100229331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 PARK AVE STE 400",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100229331",
            "telephone_number": "347-766-8554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEK",
        "first_name": "MARY",
        "middle_name": "PAIGE",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-12",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "074909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.