Mary Chepak, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

050639 Issued in NY

Practice address

22 Spar Dr
Mastic Beach, NY 11951-2006

Phone

(631) 657-6645

NPI assigned

Dec 10, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Community Counseling and LCSW ServicesGroup PAC ID 3577605617, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Community Counseling & LCSW Services PC

  • Clinical Social Worker
  • Center Moriches, NY
  • NPI 1770819690
  Medicare reassignment Care Compare group NPD
• Qureshi Medical Services PLLC

  • Psychiatry Physician
  • Center Moriches, NY
  • NPI 1316763162
  NPD (past)

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

{
    "created_epoch": "1449705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449705600000",
    "number": "1962877381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 SPAR DR",
            "city": "MASTIC BEACH",
            "state": "NY",
            "postal_code": "119512006",
            "telephone_number": "631-657-6645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 SPAR DR",
            "city": "MASTIC BEACH",
            "state": "NY",
            "postal_code": "119512006",
            "telephone_number": "631-657-6645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEPAK",
        "first_name": "MARY",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-10",
        "last_updated": "2015-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "050639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laronda Renee Butts, LPN
• Mariann Cali
• Ashley Campo
• Courtney A Carlson
• Amour Najee Carrethers
• Coby Scaccia PT, PC
• Jhneale Cockburn-Georges
• Nicoletta Colabella
• Community Counseling Too LCSW Services PLLC
• Jessica B Conlon

• Social Worker in Mastic Beach, NY
• Providers in Mastic Beach, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2015; 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.