Marian Lee Myskowsky, LCSWR
Individual provider Active NPI Clinical Social Worker · Beechhurst, NY
NPI 1497962005 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1497962005
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- R038904-1 (NY)
- Practice address
- 16625 Powells Cove Blvd
Suite 6G
Beechhurst, NY 11357-1545 - Phone
- (718) 767-8160
- Fax
- (631) 725-0072
- NPI assigned
- May 16, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R038904-1 | NY | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | R038904-1 | NY | Yes |
Addresses
Primary practice location
16625 Powells Cove Blvd
Suite 6G
Beechhurst, NY 11357-1545
Mailing address
16625 Powells Cove Blvd
Suite 6G
Beechhurst, NY 11357-1545
Phone (718) 767-8160
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R0389041 | Other | NY | LCSWR |
Other providers in Beechhurst, NY
- Donna Kam
- Maria Antonia Kober
- Peter Lorenzo
- David B Luft
- Joy McTigue
- Dahlia S Pinder
- Deirdre Ring
- Gabrielle Rothman
- Barbara Sicherman
- Yassaman Somen
All providers in Beechhurst, NY · Clinical Social Worker in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.