Active NPI
Donna Jean Marra, LCSW
- Social Worker
- Syracuse, NY
National Provider Identifier
1447326194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 074019
- Practice address
- 635 James St
Syracuse, NY 13203-2226 - Phone
- (315) 671-2942
- NPI assigned
- Nov 27, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 074019 | NY | Primary |
Addresses
Primary practice location
635 James St
Syracuse, NY 13203-2226
Mailing address
635 James St
Syracuse, NY 13203-2226
Phone (315) 671-2942
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01649605 | Medicaid | NY |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 074019 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291248000000",
"number": "1447326194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "635 JAMES ST",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132032226",
"telephone_number": "315-671-2942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "635 JAMES ST",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132032226",
"telephone_number": "315-671-2942"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARRA",
"first_name": "DONNA",
"middle_name": "JEAN",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-27",
"last_updated": "2010-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "074019",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01649605",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.