Marya Suzanne Makowski, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

39934 Issued in TX

Practice address

15800 Seagoville Rd
Dallas, TX 75253-5703

Phone

(972) 892-7198

Fax

(765) 742-8272

NPI assigned

Oct 24, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Willowstone Family Services

  • Mental Health Counselor
  • Lafayette, IN
  • NPI 1780742874
  NPD (past)

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

{
    "created_epoch": "1414108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663718400000",
    "number": "1740685379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15800 SEAGOVILLE RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752535703",
            "telephone_number": "972-892-7198",
            "fax_number": "214-932-7519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15800 SEAGOVILLE RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752535703",
            "telephone_number": "972-892-7198",
            "fax_number": "765-742-8272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKOWSKI",
        "first_name": "MARYA",
        "middle_name": "SUZANNE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-24",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IN",
            "license": "33006734A",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "39934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madiha Makhdumi, MD
• Makin-It Go Transport LLC
• Maha Makin
• John Makinde, DHSC, PAC
• Gurbani K Makkar, DDS
• Nicole Makrakis, AGACNP-BC
• Prabhu Malachi, MD
• Rani Thoppil Malaickal, RN
• Ilya Malaniy, CRNA
• Agnes Malaran, RN

• Clinical Social Worker in Dallas, TX
• Providers in Dallas, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; 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.