Active NPI
Marberth Coulanges, LMSW
- Social Worker
- Brooklyn, NY
National Provider Identifier
1740912195
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 109615-01
- Practice address
- 300 Cadman PLZ W # 327
Brooklyn, NY 11201-3229 - Phone
- (917) 426-1618
- NPI assigned
- Jun 25, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 109615-01 | NY | Primary |
Addresses
Primary practice location
300 Cadman PLZ W # 327
Brooklyn, NY 11201-3229
Mailing address
1699 Troy Ave
Brooklyn, NY 11234-1424
Phone (347) 357-1938
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 109615-01 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656115200000",
"number": "1740912195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1699 TROY AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112341424",
"telephone_number": "347-357-1938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 CADMAN PLZ W # 327",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112013229",
"telephone_number": "917-426-1618"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COULANGES",
"first_name": "MARBERTH",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-25",
"last_updated": "2022-06-25",
"certification_date": "2022-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "109615-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.