Active NPI
Felicia Marohn, LCSW
- Clinical Social Worker
- Santa Fe, NM
National Provider Identifier
1083964613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C-08853
- Practice address
- 411 Saint Michaels Dr
Suite 2
Santa Fe, NM 87505-7655 - Phone
- (505) 231-0035
- Fax
- (505) 982-2196
- NPI assigned
- Sep 11, 2012
- Last updated
- Jan 4, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C-08853 | NM | Primary |
Addresses
Primary practice location
411 Saint Michaels Dr
Suite 2
Santa Fe, NM 87505-7655
Mailing address
411 Saint Michaels Dr
Suite 2
Santa Fe, NM 87505-7655
Phone (505) 231-0035
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 19, 2024 through Jan 19, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C-08853 | NM | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1451865600000",
"number": "1083964613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 SAINT MICHAELS DR",
"address_2": "SUITE 2",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875057655",
"telephone_number": "505-231-0035",
"fax_number": "505-982-2196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 SAINT MICHAELS DR",
"address_2": "SUITE 2",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875057655",
"telephone_number": "505-231-0035",
"fax_number": "505-982-2196"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAROHN",
"first_name": "FELICIA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-09-11",
"last_updated": "2016-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NM",
"license": "C-08853",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Fe, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.