Marie Beauregard-Weiss, LCSW,PC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MARIE BEAUREGARD-WEISS, LCSW,PC

Practice address

2078 Richmond Ave
Staten Island, NY 10314-3916

Phone

(917) 470-0284

Fax

(352) 293-3137

NPI assigned

Feb 10, 2015

Organization subpart

No

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

Authorized official

Name

Marie Beauregard-Weiss, LCSWNPI 1134217508

Title

Provider Administrator

Phone

(917) 470-0284

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marie C Beauregard-Weiss, LCSW

  • Clinical Social Worker
  • Staten Island, NY
  • NPI 1134217508

  FL

  Medicare reassignment Authorized official
• Joseph Anthony Falcone Sr., NP

  • Family Nurse Practitioner
  • Staten Island, NY
  • NPI 1992217608
  NPD

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

{
    "created_epoch": "1423526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733702400000",
    "number": "1891186029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10501 WOODLAND WATERS BLVD",
            "city": "WEEKI WACHEE",
            "state": "FL",
            "postal_code": "346136410",
            "telephone_number": "917-470-0284",
            "fax_number": "178-351-4786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2078 RICHMOND AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103143916",
            "telephone_number": "917-470-0284",
            "fax_number": "352-293-3137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIE BEAUREGARD-WEISS, LCSW,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-10",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A",
        "authorized_official_last_name": "BEAUREGARD-WEISS",
        "authorized_official_first_name": "MARIE",
        "authorized_official_title_or_position": "PROVIDER ADMINISTRATOR",
        "authorized_official_telephone_number": "917-470-0284",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02455636",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Mariak
• Jonathan Mariani
• Marianne Lants DPM, P.C.
• Alejandro T Mariano, PT
• Cassandra Marie Mariano, M.A., CCC-SLP
• Marie L. Vartolo M.D.P.C.
• Mary Marin
• Marina Senior Center Inc
• Marina Tinovsky, SLP. PC
• Zahra Marina, MD

• 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 Dec 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.