Individual provider Active NPI

Lori Thompson-Maranda, LMSW

  • Social Worker
  • Holtsville, NY
National Provider Identifier
1033500608
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
085144 Issued in NY
Practice address
38 Bayou CT
Holtsville, NY 11742-1000
Phone
(631) 655-8797
NPI assigned
Feb 18, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 085144 NY Primary

Addresses

Primary practice location

38 Bayou CT
Holtsville, NY 11742-1000

Mailing address

38 Bayou CT
Holtsville, NY 11742-1000
Phone (631) 655-8797

Other practice location 1

38 Bayou Ct
Holtsville, NY 11742-1000
Phone (631) 655-8797

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
085144NYMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1424217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1033500608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 BAYOU CT",
            "city": "HOLTSVILLE",
            "state": "NY",
            "postal_code": "117421000",
            "telephone_number": "631-655-8797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 BAYOU CT",
            "city": "HOLTSVILLE",
            "state": "NY",
            "postal_code": "117421000",
            "telephone_number": "631-655-8797"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "38 Bayou Ct",
            "address_purpose": "LOCATION",
            "city": "Holtsville",
            "state": "NY",
            "postal_code": "117421000",
            "country_code": "US",
            "telephone_number": "631-655-8797",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON-MARANDA",
        "first_name": "LORI",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-18",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "085144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holtsville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; 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.