Mayra Marimon, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW10888 Issued in FL

Practice address

4699 N Federal Hwy
Suite 102F
Pompano Beach, FL 33064-6510

Phone

(954) 951-8091

Fax

(888) 900-2325

NPI assigned

Jan 29, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1422489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445990400000",
    "number": "1255721155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4699 N FEDERAL HWY",
            "address_2": "SUITE 102F",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330646510",
            "telephone_number": "954-951-8091",
            "fax_number": "888-900-2325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4699 N FEDERAL HWY",
            "address_2": "SUITE 102F",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330646510",
            "telephone_number": "954-951-8091",
            "fax_number": "888-900-2325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARIMON",
        "first_name": "MAYRA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-29",
        "last_updated": "2015-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW10888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle Marcou
• Scott Marden
• Margaret J Starr DO PA
• Maric MD LLC
• Marie J Gravel Inc
• Jacqueline Marinaro, M.S.
• John D Marino, OD
• Thomas Francis Marino, MD
• Heidi Lynn Markert, PTA , LMT
• Laura Michelle Markowitz

• Clinical Social Worker in Pompano Beach, FL
• Providers in Pompano Beach, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2015; 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.