Active NPI
Marilyn Jennifer Lavin, LCSW, CASAC
- Clinical Social Worker
- Seaford, NY
National Provider Identifier
1578585642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R041980
- Practice address
- 3960 Merrick Rd.
Seaford, NY 11783 - Phone
- (516) 897-8918
- NPI assigned
- Jul 24, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 5809 | NY | |
| Clinical Social Worker | 1041C0700X | R041980 | NY | Primary |
Addresses
Primary practice location
3960 Merrick Rd.
Seaford, NY 11783
Mailing address
14 Doyle St
Long Beach, NY 11561
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NE0041 | Other | NY | MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041221000353 | NY | Practitioner - Clinical Social Worker | 6103884283 | Practice locations: Massapequa, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
100 Broadway
Suite 201
Massapequa, NY 11758-5204
Phone (516) 567-9044
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R041980 | NY | MD | Clinical Social Worker |
| 5809 | NY | MD | Endodontist |
| 041980 | NY | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225929600000",
"number": "1578585642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 DOYLE ST",
"city": "LONG BEACH",
"state": "NY",
"postal_code": "11561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3960 MERRICK RD.",
"city": "SEAFORD",
"state": "NY",
"postal_code": "11783",
"telephone_number": "516-897-8918"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAVIN",
"first_name": "MARILYN",
"middle_name": "JENNIFER",
"credential": "LCSW, CASAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-24",
"last_updated": "2008-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NY",
"license": "5809",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R041980",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "NE0041",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Seaford, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.