Theresa Marcin, LCSW

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

056424-1 Issued in NY

Practice address

152 Broadway
Dobbs Ferry, NY 10522-2847

Phone

(914) 479-5411

Fax

(914) 479-5411

NPI assigned

Apr 22, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Theresa Ann Colao Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1240358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339977600000",
    "number": "1184868168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 BROADWAY",
            "city": "DOBBS FERRY",
            "state": "NY",
            "postal_code": "105222847",
            "telephone_number": "914-479-5411",
            "fax_number": "914-479-5411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 BROADWAY",
            "city": "DOBBS FERRY",
            "state": "NY",
            "postal_code": "105222847",
            "telephone_number": "914-479-5411",
            "fax_number": "914-479-5411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCIN",
        "first_name": "THERESA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-22",
        "last_updated": "2012-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "056424-1",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NY",
            "license": "056424-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THERESA",
            "last_name": "COLAO",
            "middle_name": "ANN",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• John Maier-Breed, PA-C
• Alex Greer Mammadyarov, LMHC
• Derek Mansfield, PT
• Brianne M Maranino, OTR
• Marc S. Kleber, PH.D., Psychologist, P.C.
• Laura Marcove, L.AC.
• Marinella'S Angels, LLC
• Monika Markaj
• Madeline T Marks
• Marco Marrero

• Case Manager/Care Coordinator in Dobbs Ferry, NY
• Providers in Dobbs Ferry, NY by specialty
• Case Manager/Care Coordinator in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2012; 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.