Active NPI
Dena M Marcinelli, LMSW
- Social Worker
- Lockport, NY
National Provider Identifier
1417155193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 068538-1
- Practice address
- 6395 Old Niagara Rd
Lockport, NY 14094-1421 - Phone
- (716) 433-4487
- NPI assigned
- Jul 5, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 068538-1 | NY | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 068538-1 | NY |
Addresses
Primary practice location
6395 Old Niagara Rd
Lockport, NY 14094-1421
Mailing address
5 Hemenway Rd
Cheektowaga, NY 14225-2135
Phone (716) 870-0350
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 068538-1 | NY | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281571200000",
"number": "1417155193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 HEMENWAY RD",
"city": "CHEEKTOWAGA",
"state": "NY",
"postal_code": "142252135",
"telephone_number": "716-870-0350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6395 OLD NIAGARA RD",
"city": "LOCKPORT",
"state": "NY",
"postal_code": "140941421",
"telephone_number": "716-433-4487"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARCINELLI",
"first_name": "DENA",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-05",
"last_updated": "2010-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "068538-1",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NY",
"license": "068538-1",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lockport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.