Marilyn Lee Foote, LCSW
Individual provider Active NPI Social Worker · Redway, CA
NPI 1689748147 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1689748147
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- LCS 17151 (CA)
- Practice address
- 101 West Coast Rd
Redway, CA 95560 - Phone
- (707) 923-2783
- Fax
- (707) 923-2543
- NPI assigned
- Nov 17, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCS 17151 | CA | MD | Social Worker |
Interoperability endpoints
- marilyn.foote.p1@direct.rrhc.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | LCS 17151 | CA | Yes |
Addresses
Primary practice location
101 West Coast Rd
Redway, CA 95560
Mailing address
PO Box 394
Miranda, CA 95553
Phone (707) 943-2786
Other providers in Redway, CA
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.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.