Marsha Tardivo, LCSW, PA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW7709 Issued in FL

Legal business name

MARSHA TARDIVO, LCSW, PA

Practice address

1035 S State Road 7
Suite 315-08
Wellington, FL 33414-6134

Phone

(561) 452-0304

Fax

(561) 204-4177

NPI assigned

May 10, 2010

Last updated

May 10, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marsha Nicole Tardivo, LCSWNPI 1518982271

Title

Owner

Phone

(561) 452-0304

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marsha Nicole Tardivo, LCSW

  • Clinical Social Worker
  • Coral Springs, FL
  • NPI 1518982271
  NPD (past) Authorized official

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

{
    "created_epoch": "1273449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273449600000",
    "number": "1578881926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4669 ISLAND REEF DR",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334498398",
            "telephone_number": "561-452-0304",
            "fax_number": "561-204-4177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 S STATE ROAD 7",
            "address_2": "SUITE 315-08",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146134",
            "telephone_number": "561-452-0304",
            "fax_number": "561-204-4177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARSHA TARDIVO, LCSW, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-10",
        "last_updated": "2010-05-10",
        "status": "A",
        "authorized_official_last_name": "TARDIVO",
        "authorized_official_first_name": "MARSHA",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-452-0304",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW7709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yerry Manuel Marquez Ramirez
• Yailyn Marrero Figueroa
• Amanda Esther Marrero
• Juliana Marrero
• Rosa Amelia Marron-Fernandez, M.D.
• Kimberly Marszalek, APRN
• Maria-Teresa Marti, PHARMD
• Jose L Martinez MD PA, MD
• Christina Diane Martinez, CLD, CPD
• Robert Martorano, O.D.

• Clinical Social Worker in Wellington, FL
• Providers in Wellington, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2010; 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.