Mary Lynn Marinucci, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

53033 Issued in TX

Practice address

3724 Jefferson St
Suite 200
Austin, TX 78731-6225

Phone

(512) 585-1445

NPI assigned

Jun 19, 2012

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1340064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340064000000",
    "number": "1114280880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10300 JOLLYVILLE RD",
            "address_2": "APT. 412",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787595619",
            "telephone_number": "512-585-1445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3724 JEFFERSON ST",
            "address_2": "SUITE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787316225",
            "telephone_number": "512-585-1445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARINUCCI",
        "first_name": "MARY",
        "middle_name": "LYNN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-19",
        "last_updated": "2012-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "53033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane C. Marin, OTR
• Elvira Alejandra Marin, LPC-ASSOCIATE
• Fernanda Marin
• Terisa Ann Marini, MSW, LCSW, CPRP
• Steven Michael Marino, DDS
• Janis S Marion, L.AC.
• Lily Brooke Marion, M.S., CCC-SLP
• Samantha Marion, BCBA
• Mariposa Family Acupuncture & Wellness, PLLC
• Mariposa Integrative Therapy

• Clinical Social Worker in Austin, TX
• Providers in Austin, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.