NPIMap

Individual provider Active NPI

Marilyn Castillo Garcia, LCSW

  • Clinical Social Worker
  • Yonkers, NY
National Provider Identifier
1376824680
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
086236-01 Issued in NY
Practice address
73 Market St
Yonkers, NY 10710-7616
Phone
(914) 295-2409
Fax
(914) 888-2155
NPI assigned
Aug 31, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 109103 IA
Clinical Social Worker 1041C0700X 0904013121 VA
Clinical Social Worker 1041C0700X 44SC06152000 NJ
Clinical Social Worker 1041C0700X 086236-01 NY Primary

Addresses

Primary practice location

73 Market St
Yonkers, NY 10710-7616

Mailing address

200 Beacon Hill Dr Apt 3G
Dobbs Ferry, NY 10522-7007
Phone (914) 258-2571

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
109103IAMDClinical Social Worker
44SC06152000NJMDClinical Social Worker
086236-01NYMDClinical Social Worker
0904013121VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Clinical Current Accepting new patients
Shine Medical Providers PC Past Accepting new patients
Shine Medical of Ca PC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: marilyngarcia@tdh.allscriptsdirect.net

Organizations & group practices 3

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": "1314748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1376824680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 BEACON HILL DR APT 3G",
            "city": "DOBBS FERRY",
            "state": "NY",
            "postal_code": "105227007",
            "telephone_number": "914-258-2571",
            "fax_number": "914-338-7335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 MARKET ST",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107107616",
            "telephone_number": "914-295-2409",
            "fax_number": "914-888-2155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "MARILYN",
        "middle_name": "CASTILLO",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-31",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "109103",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904013121",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC06152000",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "086236-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; 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.