Kirsten Marchesano, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

071226-1 Issued in NY

Practice address

455 Central Park Ave Ste 206
Scarsdale, NY 10583-1034

Phone

(917) 886-1919

NPI assigned

Mar 13, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

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 Sep 26, 2019 through Sep 26, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1520899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678233600000",
    "number": "1407359797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 TODD RD",
            "city": "KATONAH",
            "state": "NY",
            "postal_code": "105362512",
            "telephone_number": "917-886-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 CENTRAL PARK AVE STE 206",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105831034",
            "telephone_number": "917-886-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCHESANO",
        "first_name": "KIRSTEN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-13",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "071226-1",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "071226-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "071226-1",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS LICENSE",
            "identifier": "071226-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danielle Manich
• Mick Mannello, DPT
• Camilo Maravilla
• Marc Andrew Horowitz MD PC
• Marchele Optical Inc.
• Alexandra Marcus, PTA
• Ivy April Marcus
• Scott D Marder, MD
• Michele Marglis
• Marisa Nicole Mariani, PT, DPT

• Clinical Social Worker in Scarsdale, NY
• Providers in Scarsdale, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.