Mary Fielding Edlow, MARY

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R038337 Issued in NY

Practice address

35 E 85TH St
Apt 5N
New York, NY 10028-0961

Phone

(212) 861-8682

NPI assigned

Mar 26, 2007

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

Other names 1

• Dr. Mary Edlow Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492992000000",
    "number": "1144348608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 EAST 85TH STREET",
            "address_2": "APT. 5E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100280966",
            "telephone_number": "212-861-8682",
            "fax_number": "212-535-7177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 E 85TH ST",
            "address_2": "APT 5N",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100280961",
            "telephone_number": "212-861-8682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDLOW",
        "first_name": "MARY",
        "middle_name": "FIELDING",
        "name_prefix": "Dr.",
        "credential": "MARY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2017-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R038337",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P068457",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "EDLOW",
            "prefix": "DR.",
            "credential": "PHD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Mark R. Edison, PH.D.
• Edita Svoren MD PC
• Amber Ilana Edley
• Brian R. Edlin, MD
• Susan L. Edlis, LCSW
• Caroline Edlund, LCSW-R
• Maria Tsepilovan Edman, PSY.D.
• Amy Edminster, LCSW
• Sarah Edmond, BCBA
• Alice Brown Edmonds, CPNP-AC

• 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 Apr 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.