MARK DIMARTINO L.C.S.W.
NPI 1598787095
Social Worker - Clinical in Glenville, NY
About Mark Dimartino L.c.s.w. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARK DIMARTINO L.C.S.W. (NPI 1598787095) is an individual clinical provider in Glenville, New York, licensed in New York (026080) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Troy.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mark Dimartino L.c.s.w. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Mark Dimartino reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Glenville, NY 12302
- Reassigned Medicare billing, New York enrollment
- 15 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 12302 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 16
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GLENVILLE, NY 12302
GLENVILLE, NY 12302
GLENVILLE, NY 12302
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 Mark Dimartino's NPI number?
The NPI number for Mark Dimartino is 1598787095. It was assigned to this individual provider in the NPPES registry on July 24, 2006.
Where is Mark Dimartino located?
Mark Dimartino practices at 79 Glenridge Rd, Glenville, NY 12302. The listed phone number is (518) 952-8335.
What is Mark Dimartino's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Mark Dimartino enrolled in Medicare?
Yes. Mark Dimartino is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Mark Dimartino's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mark Dimartino reassigns Medicare benefits to Conifer Park, Inc (Glenville, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mark Dimartino's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Mark Dimartino was last updated on September 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Mark Dimartino, L.C.S.W. · NPI 1598787095
Clinical provider in Glenville, New York. Individual provider, active in the CMS NPPES registry since July 24, 2006.
## Identity
- **NPI:** 1598787095 (Entity type: Individual)
- **Enumerated:** July 24, 2006
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 026080 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 79 GLENRIDGE RD, Glenville, NY 12302-4523
- **Phone:** (518) 952-8335
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Conifer Park, Inc (NPI 1538180351, Glenville, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 5, 2023
- **Other identifiers:** Medicaid 01420800 (NY)
---
Source: [NPI Profile](https://npiprofile.com/npi/1598787095) · Data from the CMS NPPES public registry.