MRS. MARY SUSAN CARLISLE LCSW
NPI 1821538950
Social Worker - Clinical in Syracuse, NY

Active since March 08, 2017PECOS Enrolled
650 MADISON ST, SYRACUSE, NY 13210(315) 426-7783(315) 426-6888 Get Directions Write a Review

NPPES record last updated: March 8, 2017. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Mrs. Mary Susan Carlisle Lcsw NPPES

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

MRS. MARY SUSAN CARLISLE LCSW (NPI 1821538950) is an individual clinical provider in Syracuse, New York, licensed in New York (084260) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821538950
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. MARY SUSAN CARLISLECredential: LCSW
Location Address650 MADISON STSyracuse, NY 13210-2319
Mailing Address650 Madison StSyracuse, NY 13210-2319 · (315) 426-7783 · Fax (315) 426-6888
Fax(315) 426-6888
Sole ProprietorNo
Enumeration DateMarch 8, 2017
✔ NPI 1821538950 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 · 084260
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.
650 MADISON ST, Syracuse, NY 13210

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Mary Susan Carlisle Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13210 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.

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.

Social Worker (Clinical)
650 MADISON ST
SYRACUSE, NY 13210
Social Worker
650 MADISON ST
SYRACUSE, NY 13210
Registered Nurse (Psychiatric/Mental Health)
650 MADISON ST
SYRACUSE, NY 13210
Psychiatric Hospital
650 MADISON ST
SYRACUSE, NY 13210
Social Worker (Clinical)
650 MADISON ST, SECOND FLOOR
SYRACUSE, NY 13210
Registered Nurse (Psychiatric/Mental Health, Adult)
650 MADISON ST
SYRACUSE, NY 13210
Counselor (Mental Health)
650 MADISON ST
SYRACUSE, NY 13210
Psychiatry & Neurology (Psychiatry)
650 MADISON ST
SYRACUSE, NY 13210

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 Carlisle's NPI number?

The NPI number for Mary Carlisle is 1821538950. It was assigned to this individual provider in the NPPES registry on March 8, 2017.

Where is Mary Carlisle located?

Mary Carlisle practices at 650 Madison St, Syracuse, NY 13210. The listed phone number is (315) 426-7783.

What is Mary Carlisle's specialty?

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

Is Mary Carlisle enrolled in Medicare?

Yes. Mary Carlisle is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mary Carlisle was last updated on March 8, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.