Individual provider Active NPI

Marilyn S. Paul, LCSW

  • Clinical Social Worker
  • Manhasset, NY
National Provider Identifier
1063400315
Registry record updated Jan 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
RP052042 Issued in NY
Practice address
333 E Shore Rd
Suite 206
Manhasset, NY 11030-2900
Phone
(516) 625-0939
Fax
(516) 621-7164
NPI assigned
Oct 11, 2005
Last updated
Jan 6, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2014

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 RP052042 NY Primary

Addresses

Primary practice location

333 E Shore Rd
Suite 206
Manhasset, NY 11030-2900

Mailing address

75 Circle LN
Roslyn Heights, NY 11577-1503
Phone (516) 625-0930

Other names 1

  • Mrs. Lyn S. Paul Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140813002696 NY Practitioner - Clinical Social Worker 3678790771 Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

771 W End Ave
Apt 6E
New York, NY 10025-5538
Phone (212) 837-1922

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RP052042NYMDClinical Social Worker
052042NYMDOral & Maxillofacial Surgery (D.M.D.)

NPI Registry JSON

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388966400000",
    "number": "1063400315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 CIRCLE LN",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "115771503",
            "telephone_number": "516-625-0930",
            "fax_number": "516-621-7164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 E SHORE RD",
            "address_2": "SUITE 206",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110302900",
            "telephone_number": "516-625-0939",
            "fax_number": "516-621-7164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAUL",
        "first_name": "MARILYN",
        "middle_name": "S.",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-11",
        "last_updated": "2014-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "RP052042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYN",
            "last_name": "PAUL",
            "middle_name": "S.",
            "prefix": "MRS.",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Manhasset, NY

Sources for this page

Verify at the official NPI Registry.