Active NPI
Lisa Mullins Marchiano, LCSW
- Clinical Social Worker
- Philadelphia, PA
National Provider Identifier
1295892974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW014407
- Practice address
- 340 E Gowen Ave
Philadelphia, PA 19119-1022 - Phone
- (215) 779-0271
- NPI assigned
- Jan 2, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CW014407 | PA | Primary |
Addresses
Primary practice location
340 E Gowen Ave
Philadelphia, PA 19119-1022
Mailing address
340 E Gowen Ave
Philadelphia, PA 19119-1022
Phone (215) 779-0271
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 279896000 | Other | PA | MAGELLAN MIS |
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
| License | State | Type | Specialty |
|---|---|---|---|
| CW014407 | PA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371340800000",
"number": "1295892974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "340 E GOWEN AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191191022",
"telephone_number": "215-779-0271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "340 E GOWEN AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191191022",
"telephone_number": "215-779-0271"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARCHIANO",
"first_name": "LISA",
"middle_name": "MULLINS",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-02",
"last_updated": "2013-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW014407",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN MIS",
"identifier": "279896000",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.