Marla P. Meyer, Licsw LLC

Primary specialty

Point of ServiceTaxonomy code 305S00000X

Legal business name

MARLA P. MEYER, LICSW LLC

Practice address

237 Washington St FL 2
Marblehead, MA 01945-3334

Phone

(781) 576-0860

NPI assigned

Apr 12, 2019

Organization subpart

No

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

Authorized official

Name

Marla P. Meyer, MSW, LICSWNPI 1669950267

Title

Clinical Social Worker

Phone

(781) 576-0860

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marla P. Meyer, MSW, LICSW

  • Clinical Social Worker
  • Marblehead, MA
  • NPI 1669950267
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1555027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679961600000",
    "number": "1396208690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 249",
            "city": "MARBLEHEAD",
            "state": "MA",
            "postal_code": "019450249",
            "telephone_number": "781-576-0860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 WASHINGTON ST FL 2",
            "city": "MARBLEHEAD",
            "state": "MA",
            "postal_code": "019453334",
            "telephone_number": "781-576-0860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARLA P. MEYER, LICSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-12",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A",
        "authorized_official_last_name": "MEYER",
        "authorized_official_first_name": "MARLA",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "781-576-0860",
        "authorized_official_credential": "MSW, LICSW"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1669950267",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110158712A",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14371402",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marblehead Ophthalmology PC
• Marblehead Pediatric Dentistry and Braces PC
• Marblehead Pediatrics
• Mark a Lewis, MD
• Betsy A Mark, LIC. AC.
• Lisa Marques, PHARMD
• Julie Martinez, MD
• Mandy Maryanski
• Rita Matlis, PHARMACIST
• Kelly Ann McAdams, LICSW

• Point of Service in Marblehead, MA
• Providers in Marblehead, MA by specialty
• Point of Service in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.