Individual provider Active NPI

Suzanne Marmo-Roman, LCSW

  • Clinical Social Worker
  • Sound Beach, NY
National Provider Identifier
1144581141
Registry record updated Jun 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
070735 Issued in NY
Practice address
33 Sound Beach Blvd
Sound Beach, NY 11789-3144
Phone
(516) 819-5804
NPI assigned
Jun 6, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 070735 NY Primary

Addresses

Primary practice location

33 Sound Beach Blvd
Sound Beach, NY 11789-3144

Mailing address

33 Sound Beach Blvd
Sound Beach, NY 11789-3144

Other identifiers 1

IdentifierTypeStateIssuer
070735OtherNYLCSW

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250718002192 NY Practitioner - Clinical Social Worker 2264689330 Practice locations: Sound Beach, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Fordham University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

33 Sound Beach Blvd
Sound Beach, NY 11789-3144
Phone (516) 819-5804

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070735NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1338940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338940800000",
    "number": "1144581141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 SOUND BEACH BLVD",
            "city": "SOUND BEACH",
            "state": "NY",
            "postal_code": "117893144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 SOUND BEACH BLVD",
            "city": "SOUND BEACH",
            "state": "NY",
            "postal_code": "117893144",
            "telephone_number": "516-819-5804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARMO-ROMAN",
        "first_name": "SUZANNE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-06",
        "last_updated": "2012-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "070735",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "070735",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sound Beach, NY

Sources for this page

Verify at the official NPI Registry.