Gary Marvel

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0890094728 Issued in VT

Practice address

157 Towne Ave
Plainfield, VT 05667-0320

Phone

(802) 454-8336

Fax

(802) 454-8339

NPI assigned

Apr 10, 2014

Last updated

Apr 10, 2014By the provider in NPPES

Sex

Male

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1397088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397088000000",
    "number": "1396164083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 TOWNE AVE",
            "address_2": "P. O. BOX 320",
            "city": "PLAINFIELD",
            "state": "VT",
            "postal_code": "056670320",
            "telephone_number": "802-454-8336",
            "fax_number": "802-454-8339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 TOWNE AVE",
            "city": "PLAINFIELD",
            "state": "VT",
            "postal_code": "056670320",
            "telephone_number": "802-454-8336",
            "fax_number": "802-454-8339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARVEL",
        "first_name": "GARY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-10",
        "last_updated": "2014-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "0890094728",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VERMONT LICENSE",
            "identifier": "0890094728",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew Lepine, DDS
• Rachael M Little, LMFT, LPCC
• Tyler Weterrings Ludington, DMD
• Carrie Mancini, PT, WCC
• Jane Martin, LPC, LCMHC
• John D. Matthew, M.D.
• Elisha Christine McLam, MD
• Emily P Murphey, M.A.
• Marilyn J Nasuta, LCMHC
• Olivia Nguyen, BA, MS, DMD

• Clinical Social Worker in Plainfield, VT
• Providers in Plainfield, VT by specialty
• Clinical Social Worker in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2014; 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.