Active NPI
Mary Elizabeth Marrone, MSW, ACSW
- Social Worker
- Pasadena, CA
National Provider Identifier
1063990349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- ASW81483
- Practice address
- 1055 E Colorado Blvd
Pasadena, CA 91106-2327 - Phone
- (661) 402-1545
- NPI assigned
- Jul 30, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | CA | ||
| Social Worker | 104100000X | ASW81483 | CA | Primary |
Addresses
Primary practice location
1055 E Colorado Blvd
Pasadena, CA 91106-2327
Mailing address
15230 Earlham St
Pacific Palisades, CA 90272-4341
Phone (310) 570-3421
Other names 1
- Mary Beth Marrone
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
| License | State | Type | Specialty |
|---|---|---|---|
| ASW81483 | CA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wings of the Future Private Practice LCSW PC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Social Worker
- Pasadena, CA
- NPI 1144705724
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532908800000",
"number": "1063990349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15230 EARLHAM ST",
"city": "PACIFIC PALISADES",
"state": "CA",
"postal_code": "902724341",
"telephone_number": "310-570-3421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1055 E COLORADO BLVD",
"city": "PASADENA",
"state": "CA",
"postal_code": "911062327",
"telephone_number": "661-402-1545"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARRONE",
"first_name": "MARY",
"middle_name": "ELIZABETH",
"credential": "MSW, ACSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-07-30",
"last_updated": "2018-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "ASW81483",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARY BETH",
"last_name": "MARRONE",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.