Individual provider Active NPI

Ana M. Marsh, LCSW

  • Clinical Social Worker
  • Lynbrook, NY
National Provider Identifier
1184389488
Registry record updated Nov 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
073650 Issued in NY
Practice address
32A Franklin Ave
Lynbrook, NY 11563-1227
Phone
(347) 918-5456
Fax
(315) 816-4837
NPI assigned
Nov 2, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2021

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 073650 NY Primary

Addresses

Primary practice location

32A Franklin Ave
Lynbrook, NY 11563-1227

Mailing address

32A Franklin Ave
Lynbrook, NY 11563-1227
Phone (917) 803-1258

Other names 1

  • Ana M. Roldan-Marsh Other name

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
I20230818002801 NY Practitioner - Clinical Social Worker 4486016615 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

32 A Franklin Ave
Lynbrook, NY 11563-1227
Phone (347) 918-5456

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
073650NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
A Mindful Talk Health Services LCSW, PLLC CurrentSince Jun 25, 2023 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1635811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635811200000",
    "number": "1184389488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32A FRANKLIN AVE",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115631227",
            "telephone_number": "917-803-1258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32A FRANKLIN AVE",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115631227",
            "telephone_number": "347-918-5456",
            "fax_number": "315-816-4837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSH",
        "first_name": "ANA",
        "middle_name": "M.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-02",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "073650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANA",
            "last_name": "ROLDAN-MARSH",
            "middle_name": "M.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lynbrook, NY

Sources for this page

Verify at the official NPI Registry.