Individual provider Active NPI

Marjorie Jill Remaly, LCSW

  • Clinical Social Worker
  • Yorktown Heights, NY
National Provider Identifier
1326105172
Registry record updated Feb 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R028880-1 Issued in NY
Practice address
2050 Saw Mill River Rd
Yorktown Heights, NY 10598-4143
Phone
(845) 353-4249
NPI assigned
Jan 2, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2008

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 R028880-1 NY Primary

Addresses

Primary practice location

2050 Saw Mill River Rd
Yorktown Heights, NY 10598-4143

Mailing address

PO Box 63
Yorktown Heights, NY 10598-0063
Phone (845) 353-4249

Other identifiers 1

IdentifierTypeStateIssuer
7403106OtherGHI

Other names 1

  • Jill Remaly Other name

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
R028880-1NYMDClinical 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": "1203379200000",
    "number": "1326105172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 63",
            "city": "YORKTOWN HEIGHTS",
            "state": "NY",
            "postal_code": "105980063",
            "telephone_number": "845-353-4249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 SAW MILL RIVER RD",
            "city": "YORKTOWN HEIGHTS",
            "state": "NY",
            "postal_code": "105984143",
            "telephone_number": "845-353-4249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REMALY",
        "first_name": "MARJORIE",
        "middle_name": "JILL",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2008-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R028880-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "7403106",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILL",
            "last_name": "REMALY",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Yorktown Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2008; 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.