Marnie Kelly-Crook, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

1031867 Issued in MA

Legal business name

MARNIE KELLY-CROOK, INC.

Practice address

54 Evergreen Rd
Natick, MA 01760-1636

Phone

(508) 667-3133

NPI assigned

Mar 6, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Marnie M Kelly-Crook, LICSW, MSW

Title

President

Phone

(508) 667-3133

Specialties & licenses 1

Addresses

Other identifiers 5

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John N Sciretta, LICSW

  • Professional Counselor
  • Cambridge, MA
  • NPI 1407051600
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1236297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236297600000",
    "number": "1033359864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 EVERGREEN RD",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017601636",
            "telephone_number": "508-667-3133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 EVERGREEN RD",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017601636",
            "telephone_number": "508-667-3133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARNIE KELLY-CROOK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-06",
        "last_updated": "2009-03-06",
        "status": "A",
        "authorized_official_last_name": "KELLY-CROOK",
        "authorized_official_first_name": "MARNIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-667-3133",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LICSW, MSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MA",
            "license": "1031867",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI#",
            "identifier": "1265506976",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1851403",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER#",
            "identifier": "P21840",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICSW - LICENSE#",
            "identifier": "1031867",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS / BLUE SHIELD OF MASSACHUSETTS",
            "identifier": "P07585",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jaclyn Maraia
• Katharine Luskin Marcks, DMD
• Asimina K Markopoulos, PA-C
• Kristen Markos
• Marla Deangelis, Pmhnp, PLLC
• Stania Marsan
• Mary Ann Morse Healthcare Center
• Mary Ann Morse Healthcare Corp.
• Mary Therese Ibrahim Licsw PLLC
• Jorge L Marzagao, OTA

• Community/Behavioral Health Agency in Natick, MA
• Providers in Natick, MA by specialty
• Community/Behavioral Health Agency in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.