Individual provider Active NPI

Cara Mayrick, LCSW

  • Clinical Social Worker
  • Kings Park, NY
National Provider Identifier
1962558155
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R043756-1 Issued in NY
Practice address
57 Bowman LN
Kings Park, NY 11754-2008
Phone
(516) 782-2302
NPI assigned
Jan 28, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 R043756-1 NY Primary

Addresses

Primary practice location

57 Bowman LN
Kings Park, NY 11754-2008

Mailing address

57 Bowman LN
Kings Park, NY 11754-2008
Phone (516) 782-2302

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 1, 2018 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R043756-1NYMDClinical Social Worker
043756NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Long Island Consultation Center PastSince Aug 15, 2021 Accepting new patients
Catholic Charities Neighborhood Services, Inc. Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/liccnewyorkcity/r4/

Organizations & group practices 2

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": "1169942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962558155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 BOWMAN LN",
            "city": "KINGS PARK",
            "state": "NY",
            "postal_code": "117542008",
            "telephone_number": "516-782-2302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 BOWMAN LN",
            "city": "KINGS PARK",
            "state": "NY",
            "postal_code": "117542008",
            "telephone_number": "516-782-2302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYRICK",
        "first_name": "CARA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R043756-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kings Park, NY

Sources for this page

Verify at the official NPI Registry.