Active NPI
Marilyn Wray, LCSW-R
- Clinical Social Worker
- Tonawanda, NY
National Provider Identifier
1174547004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 018820
- Practice address
- 1914 Colvin Blvd
Tonawanda, NY 14150-6973 - Phone
- (716) 510-7644
- Fax
- (716) 875-4138
- NPI assigned
- Jul 26, 2006
- 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 | 018820 | NY | Primary |
Addresses
Primary practice location
1914 Colvin Blvd
Tonawanda, NY 14150-6973
Mailing address
1914 Colvin Blvd
Tonawanda, NY 14150-6973
Phone (716) 510-7644
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6208289 | Other | NY | INDEPENDENT HEALTH |
| 7482648 | Other | NY | VALUE OPTIONS/GHI |
| 000524117007 | Other | NY | BLUE CROSS & BLUE SHIELD |
| 00053094001 | Other | NY | UNIVERA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coburn Family Chiropractic, P.C. | Past | Accepting new patients | |
| Howard C. Wilinsky, M.D., P.C. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Tonawanda, NY
- NPI 1730550997
-
- Psychiatry Physician
- Amherst, NY
- NPI 1619150380
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207699200000",
"number": "1174547004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1914 COLVIN BLVD",
"city": "TONAWANDA",
"state": "NY",
"postal_code": "141506973",
"telephone_number": "716-510-7644",
"fax_number": "716-875-4138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1914 COLVIN BLVD",
"city": "TONAWANDA",
"state": "NY",
"postal_code": "141506973",
"telephone_number": "716-510-7644",
"fax_number": "716-875-4138"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WRAY",
"first_name": "MARILYN",
"credential": "LCSW-R",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-26",
"last_updated": "2008-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "018820",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENT HEALTH",
"identifier": "6208289",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS/GHI",
"identifier": "7482648",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS & BLUE SHIELD",
"identifier": "000524117007",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA",
"identifier": "00053094001",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tonawanda, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.