Janice K. Marine, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C004567 Issued in NC

Practice address

610 E Center Ave
Mooresville, NC 28115-2578

Phone

(704) 402-1060

Fax

(704) 406-1065

NPI assigned

Jun 4, 2006

Last updated

Nov 2, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Janice K Foess Marine Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Carolina Child and Family Services, Inc.

  • Clinical Social Worker
  • Mount Airy, NC
  • NPI 1497840037
  NPD (past)
• New River Service Authority

  dba New River Behavioral HealthCare

  • Community/Behavioral Health Agency
  • Lenoir, NC
  • NPI 1659532562
  NPD (past)
• New River Service Authority

  dba New River Behavioral Healthcare

  • Foster Care Agency
  • Boone, NC
  • NPI 1720360944
  NPD (past)

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193961600000",
    "number": "1063450419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 E CENTER AVE",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281152578",
            "telephone_number": "704-660-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 E CENTER AVE",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281152578",
            "telephone_number": "704-402-1060",
            "fax_number": "704-406-1065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARINE",
        "first_name": "JANICE",
        "middle_name": "K.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-04",
        "last_updated": "2007-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C004567",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "2876371A",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6106177",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANICE",
            "last_name": "FOESS MARINE",
            "middle_name": "K",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mamis Home Care
• Madison Brooke Mancino, PA-C
• Manisha Desai Patel (Lake Norman Dentistry)
• Pamela Susan Manser, M.A.-CCC/SLP
• Khaled Mansour, MD
• Sheryl Marinelli, LPC
• Maureen Susan Marquie, PT, DPT
• Brendan M Marr, MD
• Ashley Michelle Marsh
• Lisa Gayle Marshall, MD

• Clinical Social Worker in Mooresville, NC
• Providers in Mooresville, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2007; 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.