Individual provider Active NPI

Marion Bunce Kharem, LCSW

  • Clinical Social Worker
  • Airmont, NY
National Provider Identifier
1043662265
Registry record updated Jul 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R033335-1 Issued in NY
Practice address
83 Campbell Ave
Airmont, NY 10901-6408
Phone
(914) 843-2706
NPI assigned
Jul 12, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X R033335-1 NY Primary

Addresses

Primary practice location

83 Campbell Ave
Airmont, NY 10901-6408

Mailing address

300 S Broadway
Apt 6a
Tarrytown, NY 10591-5317
Phone (914) 843-2706

Other names 1

  • Ms. Marion Mercedes Bunce Former name

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
R033335-1NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1468281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468281600000",
    "number": "1043662265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S BROADWAY",
            "address_2": "APT 6A",
            "city": "TARRYTOWN",
            "state": "NY",
            "postal_code": "105915317",
            "telephone_number": "914-843-2706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 CAMPBELL AVE",
            "city": "AIRMONT",
            "state": "NY",
            "postal_code": "109016408",
            "telephone_number": "914-843-2706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAREM",
        "first_name": "MARION",
        "middle_name": "BUNCE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-12",
        "last_updated": "2016-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R033335-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARION",
            "last_name": "BUNCE",
            "middle_name": "MERCEDES",
            "prefix": "MS.",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Airmont, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2016; 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.