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MR. ALAN VINCENT IVICIC LCSW-R
NPI 1013163187
Social Worker - Clinical in Mahopac, NY

Active since August 08, 2008Opted out of Medicare · through Sep 18, 2027
220 ROUTE 6, MAHOPAC, NY 10541(917) 336-4289 Get Directions Write a Review

NPPES record last updated: May 7, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 7, 2026, Jan 8, 2021 (2 updates tracked since 2021).

About Mr. Alan Vincent Ivicic Lcsw-r NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. ALAN VINCENT IVICIC LCSW-R (NPI 1013163187) is an individual clinical provider in Mahopac, New York, licensed in New York (079338) and active in the NPI registry since August 2008. He has opted out of Medicare through September 18, 2027.

NPPES Registry Identity

NPI1013163187
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. ALAN VINCENT IVICICCredential: LCSW-R
Location Address220 ROUTE 6Mahopac, NY 10541-3850
Mailing Address220 Route 6Mahopac, NY 10541-3850 · (917) 336-4289
Phone(917) 336-4289
Sole ProprietorYes
Enumeration DateAugust 8, 2008
Last NPPES UpdateMay 7, 20262 updates tracked since enumeration
NPPES CertifiedMay 7, 2026
✔ NPI 1013163187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NY · 079338
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
220 ROUTE 6, Mahopac, NY 10541
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mr. Alan Vincent Ivicic Lcsw-r has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 18, 2021 through September 18, 2027.

Opt-Out Effective DateSeptember 18, 2021
Opt-Out In Effect ThroughSeptember 18, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNIFER DIBENEDETTO LCSW
Social Worker
220 ROUTE 6
MAHOPAC, NY 10541
Putnam County (914) 419-9962
MS. JOAN P. FOX-BOW MA, LCSW
Social Worker (Clinical)
220 ROUTE 6
MAHOPAC, NY 10541
Putnam County (914) 584-8124
REBECCA IVICIC PSYD
Psychologist
220 ROUTE 6
MAHOPAC, NY 10541
Putnam County (914) 246-8884
ANNALISA MANCINI, LCSW P.C.
Social Worker (Clinical)
220 ROUTE 6
MAHOPAC, NY 10541
Putnam County (914) 673-3196
MS. JOANN FENTON CSW-R
Social Worker (Clinical)
220 ROUTE 6
MAHOPAC, NY 10541
Putnam County (845) 216-3998
DR. FRANCES HANDLER-IGNA PH.D.
Psychologist (Clinical)
220 ROUTE 6
MAHOPAC, NY 10541
Putnam County (917) 733-8129
HEART AND SOUL LCSW P.C.
Preferred Provider Organization
220 ROUTE 6
MAHOPAC, NY 10541
Putnam County (914) 419-9962

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alan Ivicic's NPI number?

The NPI number for Alan Ivicic is 1013163187. It was assigned to this individual provider in the NPPES registry on August 8, 2008.

Where is Alan Ivicic located?

Alan Ivicic practices at 220 Route 6, Mahopac, NY 10541. The listed phone number is (917) 336-4289.

What is Alan Ivicic's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Alan Ivicic enrolled in Medicare?

No. Alan Ivicic has opted out of Medicare through September 18, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Alan Ivicic was last updated on May 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.