Mary Lane Marrero, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW10511 Issued in FL

Practice address

297 E Highway 50 Ste 1
Clermont, FL 34711-2500

Phone

(352) 404-6589

NPI assigned

Jun 3, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Clinical Social Worker

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Cotler Healthcare & Development Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wellington, FL
  • NPI 1225075047
  Medicare reassignment NPD
• Counseling Resource Services, Inc.

  • Community/Behavioral Health Agency
  • Winter Garden, FL
  • NPI 1164819041
  Medicare reassignment NPD
• Ibis Healthcare Inc

  dba Gracepoint

  • Community/Behavioral Health Agency
  • Tampa, FL
  • NPI 1346224011
  Medicare reassignment NPD
• Silver Lining Without Border, Corp

  • Community/Behavioral Health Agency
  • Windermere, FL
  • NPI 1881075489
  Medicare reassignment NPD
• Aldad Medical PC

  • Psychiatry Physician
  • Ann Arbor, MI
  • NPI 1174784953

  FL

  Medicare reassignment NPD
• My Best Life Counseling Services LLC

  • Clinical Social Worker
  • Windermere, FL
  • NPI 1750274130
  NPD Authorized official
• Ibis Healthcare Inc

  dba Gracepoint

  • Federally Qualified Health Center (FQHC)
  • Tampa, FL
  • NPI 1922777218
  NPD
• Sunrise Counseling Services, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Clermont, FL
  • NPI 1710624101
  NPD
• Mindful Integrated Medicine LLC

  • General Practice Physician
  • Kissimmee, FL
  • NPI 1831544832
  NPD (past)

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

{
    "created_epoch": "1370217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740182400000",
    "number": "1073950887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3489 YARIAN DR",
            "city": "HAINES CITY",
            "state": "FL",
            "postal_code": "338446656",
            "telephone_number": "850-566-5602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "297 E HIGHWAY 50 STE 1",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347112500",
            "telephone_number": "352-404-6589"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3500 Posner Blvd Ste 1049",
            "address_purpose": "LOCATION",
            "city": "Davenport",
            "state": "FL",
            "postal_code": "338373640",
            "country_code": "US",
            "telephone_number": "407-636-2602",
            "fax_number": "407-988-1208",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARRERO",
        "first_name": "MARY",
        "middle_name": "LANE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-03",
        "last_updated": "2025-02-22",
        "certification_date": "2025-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW10511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019565900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mechelle Lee Marion-Lake, FNP
• Erin Christine Markham
• Greys Marquez Moreno
• Ann Michele Marquez
• Genesis Kristal Marrero Cedeno
• Stefanie Nicole Marshall, APRN
• Ernesto Martell Polo, PA-C
• Andrea Vanessa Martin Ruiz
• Adam Matthew Martin, M.A., CCC-SLP
• Cleofe D Martin, PT

• Clinical Social Worker in Clermont, FL
• Providers in Clermont, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.