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MARY E. QUALTERS LCSW
NPI 1710070453
Social Worker - Clinical in Albany, NY

Active since October 02, 2006PECOS EnrolledAccepts Medicare Assignment
409 NEW KARNER RD., SUITE 101, ALBANY, NY 12205(518) 456-1071(518) 456-3689 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mary E. Qualters Lcsw NPPES

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

MARY E. QUALTERS LCSW (NPI 1710070453) is an individual clinical provider in Albany, New York, licensed in New York (R045165) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1992).

NPPES Registry Identity

NPI1710070453
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMARY E. QUALTERSCredential: LCSW
Location Address409 NEW KARNER RD., SUITE 101Albany, NY 12205
Mailing Address409 New Karner Rd., Suite 101Albany, NY 12205 · (518) 456-1071 · Fax (518) 456-3689
Phone(518) 456-1071
Fax(518) 456-3689
Sole ProprietorYes
Medical School CMSOtherGraduated 1992
Enumeration DateOctober 2, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1710070453 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 · R045165
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.
409 NEW KARNER RD., Albany, NY 12205
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mary E. Qualters Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4385900240
PECOS Enrollment IDI20171108003095
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.

Medicare Billing Reassignment

Medicare enrollment records show Mary Qualters reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Northeast Psychological Associates PLLC
0.3 mi
Psychologist
435 NEW KARNER RD
Albany, NY 12205
  • Reassigned Medicare billing, New York enrollment
  • 12 clinicians in this Medicare group
NPI 1447817093 (518) 456-2060

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 12205 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.87 – $166.88
Typical copayment $0.00 (range $13.71 – $41.72)
Most-billed visit code NA
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Mary Qualters's NPI number?

The NPI number for Mary Qualters is 1710070453. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Where is Mary Qualters located?

Mary Qualters practices at 409 New Karner Rd. Suite 101, Albany, NY 12205. The listed phone number is (518) 456-1071.

What is Mary Qualters's specialty?

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

Is Mary Qualters enrolled in Medicare?

Yes. Mary Qualters is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Mary Qualters's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Qualters reassigns Medicare benefits to Northeast Psychological Associates PLLC (Albany, 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 Mary Qualters'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 Mary Qualters was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.