Mariah Carroll Hallbilsback, MA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

095251-01 Issued in NY

Practice address

4130 46TH St 4B
Sunnyside, NY 11104-7063

Phone

(508) 561-4247

NPI assigned

Sep 3, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

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

Specialty

Clinical Social Worker

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Catholic Charities Neighborhood Services IncGroup PAC ID 4880506260, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Catholic Charities Neighborhood Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Brooklyn, NY
  • NPI 1548373921
  Medicare reassignment Care Compare group NPD
• Catholic Charities Neigborhood Services

  • Community Health Clinic/Center
  • Jamaica, NY
  • NPI 1699310292
  NPD (past)
• Catholic Charities Neigborhood Services

  • Clinical Social Worker
  • Glendale, NY
  • NPI 1881910131
  NPD (past)
• Catholic Charities Neighborhood Services, Inc.

  • Clinic/Center
  • Jamaica, NY
  • NPI 1780319426
  NPD (past)

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

{
    "created_epoch": "1535932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695859200000",
    "number": "1912489204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4130 46TH ST 4B",
            "city": "SUNNYSIDE",
            "state": "NY",
            "postal_code": "11104",
            "telephone_number": "508-561-4247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4130 46TH ST 4B",
            "city": "SUNNYSIDE",
            "state": "NY",
            "postal_code": "111047063",
            "telephone_number": "508-561-4247"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6729 Myrtle Ave",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "NY",
            "postal_code": "113857063",
            "country_code": "US",
            "telephone_number": "508-561-4247",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALLBILSBACK",
        "first_name": "MARIAH",
        "middle_name": "CARROLL",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-03",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "095251-01",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "107600-01",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "095251-01",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMSW",
            "identifier": "107600-01",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• GSSV Pharmacy Inc.
• Albert Guidice, LPN
• Haber Counseling LCSW PLLC
• Carlos Gustavo Haber, LCSW
• Mirta I Haber, LMSW
• Zaid Hamdani, R.PH
• Rhahmina Hamid
• Hana Dental Care P.C.
• Mafujul Hasan, DDS
• Elena Hatzakos

• Clinical Social Worker in Sunnyside, NY
• Providers in Sunnyside, 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 Sep 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.