Individual provider Active NPI

Marilyn Ansevin Austin, PH.D.,LCSW-C, BCD

  • Clinical Social Worker
  • Olney, MD
National Provider Identifier
1356330872
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
778 Issued in MD
Practice address
19345 Olney Mill Rd
Olney, MD 20832-1101
Phone
(301) 570-9143
NPI assigned
Oct 18, 2005
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 778 MD Primary

Addresses

Primary practice location

19345 Olney Mill Rd
Olney, MD 20832-1101

Mailing address

19345 Olney Mill Rd
Olney, MD 20832-1101
Phone (301) 570-9143

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jul 8, 2015 through Jul 8, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
778MDMDClinical Social Worker
00778MDMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1356330872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19345 OLNEY MILL RD",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208321101",
            "telephone_number": "301-570-9143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19345 OLNEY MILL RD",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208321101",
            "telephone_number": "301-570-9143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUSTIN",
        "first_name": "MARILYN",
        "middle_name": "ANSEVIN",
        "name_prefix": "Dr.",
        "credential": "PH.D.,LCSW-C, BCD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-18",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olney, MD

Sources for this page

Verify at the official NPI Registry.