Individual provider Active NPI

Veronica Marmora, LCSW, ACSW

  • Clinical Social Worker
  • Exton, PA
National Provider Identifier
1487663209
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW013534 Issued in PA
Practice address
255 Gordon Dr
Suite # 205
Exton, PA 19341-1322
Phone
(610) 594-6303
Fax
(810) 592-6303
NPI assigned
Aug 8, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW013534 PA Primary

Addresses

Primary practice location

255 Gordon Dr
Suite # 205
Exton, PA 19341-1322

Mailing address

255 Gordon Dr
Suite # 205
Exton, PA 19341-1322
Phone (610) 594-6303

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

LicenseStateTypeSpecialty
CW013534PAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487663209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 GORDON DR",
            "address_2": "SUITE # 205",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193411322",
            "telephone_number": "610-594-6303",
            "fax_number": "810-592-6303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 GORDON DR",
            "address_2": "SUITE # 205",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193411322",
            "telephone_number": "610-594-6303",
            "fax_number": "810-592-6303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARMORA",
        "first_name": "VERONICA",
        "credential": "LCSW, ACSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW013534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Exton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.