Mariel Chloe Practice LLC

Primary specialty

Social WorkerTaxonomy code 104100000X

License

73083458 Issued in NY

Legal business name

MARIEL CHLOE PRACTICE LLC

Practice address

330 E 79TH St
New York, NY 10075-0966

Phone

(917) 553-1870

NPI assigned

Oct 15, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Mariel Chloe Mangold, LCSW

Title

Owner

Phone

(917) 553-1870

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1444867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444867200000",
    "number": "1457722431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 E 79TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100750966",
            "telephone_number": "917-553-1870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 E 79TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100750966",
            "telephone_number": "917-553-1870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIEL CHLOE PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-15",
        "last_updated": "2015-10-15",
        "status": "A",
        "authorized_official_last_name": "MANGOLD",
        "authorized_official_first_name": "MARIEL",
        "authorized_official_middle_name": "CHLOE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-553-1870",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": "NY",
            "license": "73083458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sanjana S Marikunte, MD
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• Social Worker in New York, NY
• Providers in New York, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2015; 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.