Individual provider Active NPI

Maria Cristina Mocellin, LCSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1831379981
Registry record updated Sep 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
077447 Issued in NY
Practice address
3940 Broadway 2ND Floor
New York, NY 10032
Phone
(212) 781-5500
NPI assigned
Nov 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 077447 NY Primary

Addresses

Primary practice location

3940 Broadway 2ND Floor
New York, NY 10032

Mailing address

3940 Broadway 2ND Floor
Acdp
New York, NY 10032
Phone (212) 781-5500

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
I20100913000160 NY Practitioner - Clinical Social Worker 1153446380 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Service Program for Older People, Inc CurrentSince Nov 10, 2018 Accepting new patients
Service Program for Older People PastSince Nov 10, 2018 Accepting new patients
Jbfcs Past Accepting new patients

Locations

302 W 91st St
Apt 2
New York, NY 10024

302 W 91st St
New York, NY 10024
Phone 2127877120528

Organizations & group practices 3

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": "1194307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285632000000",
    "number": "1831379981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3940 BROADWAY 2ND FLOOR",
            "address_2": "ACDP",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10032",
            "telephone_number": "212-781-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3940 BROADWAY 2ND FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10032",
            "telephone_number": "212-781-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOCELLIN",
        "first_name": "MARIA",
        "middle_name": "CRISTINA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-06",
        "last_updated": "2010-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "077447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.