Marilyn Mintz Sulzbacker, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

PR013807-1 Issued in NY

Practice address

165 W 66TH St
Apt. 3E
New York, NY 10023-6538

Phone

(212) 595-7186

Fax

(212) 595-4397

NPI assigned

Sep 24, 2006

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 3

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

Specialty

Clinical Social Worker

Education

Other, 1972

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1159056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184630400000",
    "number": "1083714513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 W 66TH ST",
            "address_2": "APT. 3E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100236538",
            "telephone_number": "212-595-7186",
            "fax_number": "212-595-4397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 W 66TH ST",
            "address_2": "APT. 3E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100236538",
            "telephone_number": "212-595-7186",
            "fax_number": "212-595-4397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULZBACKER",
        "first_name": "MARILYN",
        "middle_name": "MINTZ",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-24",
        "last_updated": "2007-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "PR013807-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "107512",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0047943",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "145997",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meghan Sultana, L.AC.
• Nasrin Sultana, MD
• Rachna Sultanian, MD
• Anthony Sulvetta
• Nataliya Sulyk
• Michelle Sulzinski
• Lai Yung Sum, NP
• Melissa W Sum, MD
• Rita Sum
• Zenaida Cortes Sumagaysay

• Clinical Social Worker in New York, NY
• Providers in New York, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2007; 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.