Individual provider Active NPI

Marta Joanna Ratajczak Laurette, LCSW-R

  • Clinical Social Worker
  • East Meadow, NY
National Provider Identifier
1821425893
Registry record updated Nov 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
085874 Issued in NY
Practice address
184 Carol Rd
East Meadow, NY 11554-1338
Phone
(917) 513-9902
NPI assigned
Oct 4, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X
Clinical Social Worker 1041C0700X 085874 NY Primary

Addresses

Primary practice location

184 Carol Rd
East Meadow, NY 11554-1338

Mailing address

184 Carol Rd
East Meadow, NY 11554-1338
Phone (917) 513-9902

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
I20180216001138 NY Practitioner - Clinical Social Worker 5193085967 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
East Point Medical PCGroup PAC ID 0749690741, 24 clinicians

Practice addresses (Care Compare)

7116 Grand Ave
Maspeth, NY 11378-1823
Phone (718) 307-1577

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
East Point Medical PC Clinical CurrentSince Sep 16, 2023 Accepting new patients
Resilience Psychotherapy LCSW PC Clinical Past Accepting new patients

Locations

7116 Grand Ave
Maspeth, NY 11378
Phone (718) 307-1577

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722

Organizations & group practices 2

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": "1380844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730419200000",
    "number": "1821425893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "184 CAROL RD",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115541338",
            "telephone_number": "917-513-9902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "184 CAROL RD",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115541338",
            "telephone_number": "917-513-9902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAURETTE",
        "first_name": "MARTA",
        "middle_name": "JOANNA RATAJCZAK",
        "name_prefix": "Ms.",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-04",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "085874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Meadow, NY

Sources for this page

Verify at the official NPI Registry.