Individual provider Active NPI

Marilyn Ann Ghezzi, LCSW

  • Clinical Social Worker
  • Chapel Hill, NC
National Provider Identifier
1285672808
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C000806 Issued in NC
Practice address
412 Caldwell Ext
Chapel Hill, NC 27516-2065
Phone
(919) 913-4200
Fax
(919) 913-4201
NPI assigned
Jun 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 C000806 NC Primary

Addresses

Primary practice location

412 Caldwell Ext
Chapel Hill, NC 27516-2065

Mailing address

412 Caldwell Ext
Chapel Hill, NC 27516-2065
Phone (919) 913-4200

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

State licenses

LicenseStateTypeSpecialty
C000806NCMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1285672808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 CALDWELL EXT",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275162065",
            "telephone_number": "919-913-4200",
            "fax_number": "919-913-4201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 CALDWELL EXT",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275162065",
            "telephone_number": "919-913-4200",
            "fax_number": "919-913-4201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHEZZI",
        "first_name": "MARILYN",
        "middle_name": "ANN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-04",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C000806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.