Individual provider Active NPI

Mary Sze-Tu, LCSW-R

  • Clinical Social Worker
  • Endicott, NY
National Provider Identifier
1881073765
Registry record updated May 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R043044 Issued in NY
Practice address
202 E Main St
Endicott, NY 13760-4817
Phone
(607) 754-2660
Fax
(607) 754-0769
NPI assigned
May 25, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2015

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 R043044 NY Primary

Addresses

Primary practice location

202 E Main St
Endicott, NY 13760-4817

Mailing address

202 E Main St
Endicott, NY 13760-4817
Phone (607) 754-2660

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
I20171221002107 NY Practitioner - Clinical Social Worker 8820356751 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Samaritan Counseling Center of the Southern Tier IncGroup PAC ID 6406845551, 3 clinicians

Practice addresses (Care Compare)

3001 E Main St
Endicott, NY 13760-5843
Phone (607) 754-2660

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R043044NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Samaritan Counseling Center of the Southern Tier Inc Clinical CurrentSince Oct 1, 2017 Accepting new patients

Locations

202 E Main St
Endicott, NY 13760
Phone (607) 754-2660

3001 E Main St
Endwell, NY 13760
Phone (607) 754-2660

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": "1432512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432512000000",
    "number": "1881073765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 E MAIN ST",
            "city": "ENDICOTT",
            "state": "NY",
            "postal_code": "137604817",
            "telephone_number": "607-754-2660",
            "fax_number": "607-754-0769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 E MAIN ST",
            "city": "ENDICOTT",
            "state": "NY",
            "postal_code": "137604817",
            "telephone_number": "607-754-2660",
            "fax_number": "607-754-0769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SZE-TU",
        "first_name": "MARY",
        "credential": "LCSW-R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-25",
        "last_updated": "2015-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R043044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Endicott, NY

Sources for this page

Verify at the official NPI Registry.