Individual provider Active NPI

Marisa Como, L.M.S.W

  • Social Worker
  • Flushing, NY
National Provider Identifier
1861814725
Registry record updated Jan 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
075542 Issued in NY
Practice address
14245 58TH Rd
Flushing, NY 11355-5310
Phone
(718) 445-4222
Fax
(718) 353-6942
NPI assigned
Jan 13, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2014

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 075542 NY Primary

Addresses

Primary practice location

14245 58TH Rd
Flushing, NY 11355-5310

Mailing address

14245 58TH Rd
Flushing, NY 11355-5310
Phone (718) 445-4222

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
075542NYMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1389571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389571200000",
    "number": "1861814725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14245 58TH RD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113555310",
            "telephone_number": "718-445-4222",
            "fax_number": "718-353-6942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14245 58TH RD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113555310",
            "telephone_number": "718-445-4222",
            "fax_number": "718-353-6942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COMO",
        "first_name": "MARISA",
        "name_prefix": "Mrs.",
        "credential": "L.M.S.W",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-13",
        "last_updated": "2014-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "075542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2014; 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.