MARY CARLSON LMSW
NPI 1528424918
Social Worker in Scotia, NY

Q: What is Mary Carlson's NPI number?

The NPI number for Mary Carlson is 1528424918. It was assigned to this individual provider in the NPPES registry on January 14, 2016.

Q: What is Mary Carlson's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Mary Carlson was last updated on January 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.

Active since January 14, 2016PECOS Enrolled

220 N BALLSTON AVE, SCOTIA, NY 12302(518) 374-3514 Get Directions Write a Review

NPPES record last updated: January 14, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mary Carlson Lmsw NPPES

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

MARY CARLSON LMSW (NPI 1528424918) is an individual social worker in Scotia, New York, licensed in New York (095730-1) and active in the NPI registry since January 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1528424918

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameMARY CARLSONCredential: LMSW

Location Address220 N BALLSTON AVEScotia, NY 12302-2533

Mailing Address220 N Ballston AveScotia, NY 12302-2533 · (518) 374-3514 · Fax (518) 374-9193

Phone(518) 374-3514

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateJanuary 14, 2016

✔ NPI 1528424918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in NY · 095730-1

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

220 N BALLSTON AVE, Scotia, NY 12302

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Carlson Lmsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1153715354

PECOS Enrollment IDI20220304001265

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

NICOLE SHEA

Counselor (Mental Health)