Amy Renee Marino, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

55133 Issued in TX

Practice address

6013 Wisteria Dr
Colorado Springs, CO 80919-4413

Phone

(512) 632-9687

NPI assigned

Oct 3, 2019

Last updated

Feb 3, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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": "1570060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612310400000",
    "number": "1790326494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6013 WISTERIA DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809194413",
            "telephone_number": "512-632-9687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6013 WISTERIA DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809194413",
            "telephone_number": "512-632-9687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARINO",
        "first_name": "AMY",
        "middle_name": "RENEE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-03",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "55133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marilyn Reese Counselor PLLC
• Eric Marin
• Leslie K Marinez
• Joanna Marini
• Alexy Sue Mariniello, PT
• Remi Mariscal
• Mark a. Reinicke, D.D.S., P.C.
• Mark C Meyer MD LLC (Spinal Diagnostics & Pain Management)
• Mark J Hinrichs MD Faapmr PC
• Mark J. Bentele, DDS, Ms, PC (Bentele Orthodontics)

• Clinical Social Worker in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2021; 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.