Mary Ann Sisto Clark, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

037371 Issued in NY

Practice address

36 Beacon Ave
Staten Island, NY 10306-1351

Phone

(888) 516-5504

NPI assigned

Mar 30, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Christa Durkin, LCSW, P.C.

  • Clinical Social Worker
  • Staten Island, NY
  • NPI 1578000659
  NPD (past)

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1811017163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 BEACON AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103061351",
            "telephone_number": "888-516-5504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 BEACON AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103061351",
            "telephone_number": "888-516-5504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SISTO CLARK",
        "first_name": "MARY ANN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-30",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "037371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Siragusa, RN
• Tara Siragusa, OTR/L
• Shalini Sirisena, PHYSICIAN ASSISTANT
• Sisters of Charity Health Care Systems NH Inc (Saint Elizabeth Anns hcrc aadc)
• Sisters of Charity Health Care Systems NH Inc (St. Elizabeth Anns HC&RC)
• Pui Man Sit, NP
• Nedunchezian Sithian, M.D.
• Irene Siu, RPH
• Siuh
• Adam Siuzdak, PA

• Clinical Social Worker in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; 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.

Verify at the official NPI Registry.