Beth Sandra Marks, LCSWR

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R0285761 Issued in NM

Practice address

617 Twin Arch Rd.
Rock Tavern, NY 12575-5324

Phone

(845) 427-9049

Fax

(845) 427-2704

NPI assigned

Jan 17, 2007

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336291509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 TWIN ARCH RD.",
            "city": "ROCK TAVERN",
            "state": "NY",
            "postal_code": "125755324",
            "telephone_number": "845-427-9049",
            "fax_number": "845-427-2704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 TWIN ARCH RD.",
            "city": "ROCK TAVERN",
            "state": "NY",
            "postal_code": "125755324",
            "telephone_number": "845-427-9049",
            "fax_number": "845-427-2704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKS",
        "first_name": "BETH",
        "middle_name": "SANDRA",
        "name_prefix": "Mrs.",
        "credential": "LCSWR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "R0285761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI BILLING VALUE OPTIONS",
            "identifier": "0053456",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE PLAN VALUE OPTIONS",
            "identifier": "124044",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather Harding, REGISTERED NURSE
• Sandra Herbert-Berg, LPN
• Linda Jean Hodgens, HEALTH EDUCATOR
• Alyssa Kerber, MFT
• Kimberly Ann Lotocke, L.AC.
• Beryl Lara Milstein, OTR/L
• Lisa Marie Napolitano
• Cynthia Rivera, MS.ED.
• Angelene S Robinson
• Sady-Ann Robinson, RN, MSN, PMHNP

• Clinical Social Worker in Rock Tavern, NY
• Providers in Rock Tavern, NY by specialty
• Clinical Social Worker in New York

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.