Individual provider Active NPI

Marianne Sponholz

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1346853611
Registry record updated Apr 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
097119 Issued in NY
Practice address
170 W End Ave Apt 29G
New York, NY 10023-5402
Phone
(914) 261-7249
NPI assigned
Aug 26, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2024

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 097119 NY Primary

Addresses

Primary practice location

170 W End Ave Apt 29G
New York, NY 10023-5402

Mailing address

170 W End Ave Apt 29G
New York, NY 10023-5402
Phone (914) 261-7249

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241127001325 NY Practitioner - Clinical Social Worker 5294260238 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Doppler Psychology Services at Home PCGroup PAC ID 2062821713, 16 clinicians

Practice addresses (Care Compare)

4 Medical Park Dr
Suite B
Pomona, NY 10970-3572
Phone (516) 810-1290

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Doppler Psychology Services at Home PC CurrentSince Dec 1, 2025 Accepting new patients
Senior Living Behavioral Health LCSW PLLC Clinical CurrentSince Oct 1, 2024 Accepting new patients

Locations

1065 Smithtown Ave
Bohemia, NY 11716
Phone (631) 388-7616

4 Medical Park Dr
Ste B
Pomona, NY 10970
Phone (845) 354-3131

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1598400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712188800000",
    "number": "1346853611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 W END AVE APT 29G",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100235402",
            "telephone_number": "914-261-7249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 W END AVE APT 29G",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100235402",
            "telephone_number": "914-261-7249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPONHOLZ",
        "first_name": "MARIANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-26",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "097119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.