Marie Mistretta, L.C.S.W.
Social Worker, Clinical in Williston Park, NY. Individual provider (NPI-1).
NPI number1013036748
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1013036748
- Entity type
- Individual (NPI-1)
- Name
- Marie Mistretta
- Credential
- L.C.S.W.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 27, 2007
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- Medicare opt-out
- Jul 1, 2017 to Jul 1, 2027
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | R016968 | NY | Yes |
Practice location
101 Hillside AveSuite 101
Williston Park, NY 11596-2347
Phone 516-248-4581 · Fax 516-248-4581
Mailing address
101 Hillside AveSuite 101
Williston Park, NY 11596-2347
Phone 516-248-4581 · Fax 516-248-4581
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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