Individual provider Active NPI

Maryann Marston, LCSW

  • Social Worker
  • New York, NY
National Provider Identifier
1447508908
Registry record updated Feb 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
087049-1 Issued in NY
Practice address
20 East 68 Street
Suite 203
New York, NY 10065-5836
Phone
(917) 444-3371
NPI assigned
Aug 15, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychoanalyst 102L00000X
Community Health Worker 172V00000X
Social Worker 104100000X 087049-1 NY Primary

Addresses

Primary practice location

20 East 68 Street
Suite 203
New York, NY 10065-5836

Mailing address

570 Park Avenue
6B
New York, NY 10065-7343
Phone (212) 371-3345

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

LicenseStateTypeSpecialty
087049-1NYMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1344988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582675200000",
    "number": "1447508908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 PARK AVENUE",
            "address_2": "6B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100657343",
            "telephone_number": "212-371-3345",
            "fax_number": "212-371-1679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 EAST 68 STREET",
            "address_2": "SUITE 203",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100655836",
            "telephone_number": "917-444-3371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSTON",
        "first_name": "MARYANN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-15",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "087049-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2020; 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.