Marilyn Wanyo, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1262 Issued in NH

Practice address

370 Portsmouth Ave
Greenland, NH 03840-2252

Phone

(603) 431-3250

NPI assigned

Jul 15, 2006

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

Medicare fee-for-service enrollment

Enrolled in NH

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

Specialty

Clinical Social Worker

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Maine Behavioral Healthcare

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Biddeford, ME
  • NPI 1891733309
  NPD (past)

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215953682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 PORTSMOUTH AVE",
            "city": "GREENLAND",
            "state": "NH",
            "postal_code": "038402252",
            "telephone_number": "603-431-3250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 PORTSMOUTH AVE",
            "city": "GREENLAND",
            "state": "NH",
            "postal_code": "038402252",
            "telephone_number": "603-431-3250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANYO",
        "first_name": "MARILYN",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "1262",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC6877",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Community Diversion Program
• Three Rivers Dental PLLC
• Zoe Torres, LMT
• Town of Greenland, NH
• Ariel Elizabeth Wahl
• Sarah Waterhouse, ND
• Dorothy Jean Waters, MSW LADC
• Amber Celeste Wilke
• Caroline Willis

• Clinical Social Worker in Greenland, NH
• Providers in Greenland, NH by specialty
• Clinical Social Worker in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.