Marilyn Siegel Tetlow, MSW LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R0186311 Issued in NY

Practice address

903 Park Avenue
Suite 2C
New York, NY 10075-0361

Phone

(212) 535-4903

NPI assigned

Jul 31, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1185840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185840000000",
    "number": "1649460148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 PARK AVENUE",
            "address_2": "SUITE 2C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100750361",
            "telephone_number": "212-535-4903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 PARK AVENUE",
            "address_2": "SUITE 2C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100750361",
            "telephone_number": "212-535-4903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TETLOW",
        "first_name": "MARILYN",
        "middle_name": "SIEGEL",
        "name_prefix": "Mrs.",
        "credential": "MSW LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-31",
        "last_updated": "2007-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R0186311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dorian Tetelman, D.D.S.
• Maureen Rose Tetelman, M.S., L.AC.
• Roxana Tetenbaum, SOCIAL WORKER
• Katherine Teter, MD
• Richard Teter, DPM
• Baruch Tetri, DDS
• Irina Tetri, DDS
• Rocco Tetro, D.C.
• Molly Tetteh, LCSW
• Alyssa Tetteris

• Clinical Social Worker in New York, NY
• Providers in New York, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.