Individual provider Active NPI

Marcia N Houllier -Rosa

  • Social Worker
  • Elmhurst, NY
National Provider Identifier
1992334056
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
7901 Broadway
Elmhurst, NY 11373-1329
Phone
(718) 334-2923
NPI assigned
Apr 2, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary
Social Worker 104100000X 074306 NY

Addresses

Primary practice location

7901 Broadway
Elmhurst, NY 11373-1329

Mailing address

100 N Portland Ave
Brooklyn, NY 11205-2005
Phone (718) 334-2923

Other practice location 1

100 N Portland Ave
Brooklyn, NY 11205-2005
Phone (844) 692-4692

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
I20210721002229 NY Practitioner - Clinical Social Worker 6507269008 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
074306NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Intercity Psychotherapy Services LCSW, P.C. CurrentSince Apr 14, 2021 Accepting new patients
Arck Nurse Practitioner in Psychiatry PLLC CurrentSince Jun 1, 2021 Accepting new patients

Locations

7906 4th Ave
Brooklyn, NY 11209
Phone (718) 704-0898

111 Smithtown Byp
Ste 122
Hauppauge, NY 11788
Phone (516) 284-6343

6806 Fresh Pond Rd
Ridgewood, NY 11385
Phone (718) 366-0775

115 S Corona Ave
Valley Stream, NY 11580
Phone (516) 284-6343

1250 Central Park Ave
Yonkers, NY 10704
Phone (718) 704-0898

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": "1585785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1992334056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N PORTLAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112052005",
            "telephone_number": "718-334-2923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 BROADWAY",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113731329",
            "telephone_number": "718-334-2923"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 N Portland Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112052005",
            "country_code": "US",
            "telephone_number": "844-692-4692",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOULLIER -ROSA",
        "first_name": "MARCIA",
        "middle_name": "N",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-02",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "074306",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, NY

Sources for this page

Verify at the official NPI Registry.