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MARIE BEAUREGARD-WEISS, LCSW,PC
NPI 1891186029
Social Worker - Clinical in Staten Island, NY

Active since February 10, 2015
2078 RICHMOND AVE, STATEN ISLAND, NY 10314(917) 470-0284(352) 293-3137 Get Directions Write a Review

NPPES record last updated: December 9, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 9, 2024, Aug 2, 2024 (2 updates tracked since 2024).

About Marie Beauregard-weiss, Lcsw,pc NPPES

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

MARIE BEAUREGARD-WEISS, LCSW,PC (NPI 1891186029) is a healthcare organization registered as a clinical in Staten Island, New York and active in the NPI registry since February 2015. The organization lists Marie Beauregard-weiss, Provider Administrator, as its authorized official.

NPPES Registry Identity

NPI1891186029
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameMARIE BEAUREGARD-WEISS, LCSW,PC
Location Address2078 RICHMOND AVEStaten Island, NY 10314-3916
Mailing Address10501 Woodland Waters BlvdWeeki Wachee, FL 34613-6410 · (917) 470-0284 · Fax (178) 351-4786
Phone(917) 470-0284
Fax(352) 293-3137
Organization SubpartNo
Authorized OfficialMarie Beauregard-weissProvider Administrator · (917) 470-0284
Enumeration DateFebruary 10, 2015
Last NPPES UpdateDecember 9, 20242 updates tracked since enumeration
NPPES CertifiedDecember 9, 2024
✔ NPI 1891186029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
2078 RICHMOND AVE, Staten Island, NY 10314
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Other Identifiers 1

Medicaid02455636NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marie Beauregard-weiss, Lcsw,pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Marie Beauregard-Weiss, Lcsw,pc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Marie Beauregard-Weiss, LCSW
Clinical Social Worker
NPI 1134217508
2078 RICHMOND AVE
Staten Island, NY 10314
(917) 470-0284
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Marie Beauregard-Weiss, Lcsw,pc's NPI number?

The NPI number for Marie Beauregard-Weiss, Lcsw,pc is 1891186029. It was assigned to this organization in the NPPES registry on February 10, 2015.

Where is Marie Beauregard-Weiss, Lcsw,pc located?

Marie Beauregard-Weiss, Lcsw,pc is located at 2078 Richmond Ave, Staten Island, NY 10314. The listed phone number is (917) 470-0284.

What is Marie Beauregard-Weiss, Lcsw,pc's specialty?

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

Is Marie Beauregard-Weiss, Lcsw,pc enrolled in Medicare?

Yes. Marie Beauregard-Weiss, Lcsw,pc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Marie Beauregard-Weiss, Lcsw,pc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Marie Beauregard-Weiss, Lcsw,pc. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Marie Beauregard-Weiss, Lcsw,pc was last updated on December 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.