Organization Active NPI

Marobanlcsw PC

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1467513481
Registry record updated Jun 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MAROBANLCSW PC
Practice address
85 5TH Avenue
Suite 903
New York, NY 10003-3019
Phone
(212) 367-3798
Fax
(718) 935-9565
NPI assigned
Dec 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2008

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

Authorized official

Name
Mr. Mark Mitchel Roberts, LCSW
Title
Corporate Officer
Phone
(212) 367-3798

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

85 5TH Avenue
Suite 903
New York, NY 10003-3019

Mailing address

85 5TH Avenue
Suite 903
New York, NY 10003-3019
Phone (212) 367-3798

Other names 1

  • MarbobanCSW PC Former legal business name

National Provider Directory

National Provider Directory

Locations

85 5th Ave
Ste 903
New York, NY 10003
Phone (212) 367-3798

85 5th Ave
Ste 905
New York, NY 10003
Phone (212) 367-3798

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214611200000",
    "number": "1467513481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 5TH AVENUE",
            "address_2": "SUITE 903",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100033019",
            "telephone_number": "212-367-3798",
            "fax_number": "718-935-9565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 5TH AVENUE",
            "address_2": "SUITE 903",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100033019",
            "telephone_number": "212-367-3798",
            "fax_number": "718-935-9565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAROBANLCSW PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2008-06-28",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "MITCHEL",
        "authorized_official_title_or_position": "CORPORATE OFFICER",
        "authorized_official_telephone_number": "212-367-3798",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MarbobanCSW PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Jun 28, 2008; 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.