Active NPI
Marobanlcsw PC
- Clinical Social Worker
- New York, NY
National Provider Identifier
1467513481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Clinical Social Worker
- New York, NY
- NPI 1518030477
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.