Individual provider Active NPI

Marianne Walsh, M.S.W., M. A.

  • Mental Health Counselor
  • Rye, NY
National Provider Identifier
1790841963
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LCSW R033920-1 Issued in NY
Practice address
66 Milton Rd
Apartment G12
Rye, NY 10580-3850
Phone
(914) 584-9554
NPI assigned
Dec 29, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LCSW SC06014 NJ
Mental Health Counselor 101YM0800X LCSW R033920-1 NY Primary

Addresses

Primary practice location

66 Milton Rd
Apartment G12
Rye, NY 10580-3850

Mailing address

PO Box 942
Suffern, NY 10901-0942
Phone (845) 368-3440

Other identifiers 5

IdentifierTypeStateIssuer
167974OtherNYMENTAL HEALTH NETWORK
135522OtherNYVALUE OPTIONS MHS PROVIDE
P1296544OtherNYOXFORD PROVIDER
0006950OtherNYGHI PIN#
72378297OtherNYUNITED HEALTHCARE UID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040412001020 NY Practitioner - Clinical Social Worker 1052305208 Practice locations: New City, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

228 N Main St
New City, NY 10956-5302
Phone (845) 368-3440

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LCSW SC06014NJMDMental Health Counselor
LCSW R033920-1NYMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790841963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 942",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109010942",
            "telephone_number": "845-368-3440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 MILTON RD",
            "address_2": "APARTMENT G12",
            "city": "RYE",
            "state": "NY",
            "postal_code": "105803850",
            "telephone_number": "914-584-9554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "MARIANNE",
        "credential": "M.S.W., M. A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "LCSW SC06014",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "LCSW R033920-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MENTAL HEALTH NETWORK",
            "identifier": "167974",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS MHS PROVIDE",
            "identifier": "135522",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD PROVIDER",
            "identifier": "P1296544",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI PIN#",
            "identifier": "0006950",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE UID",
            "identifier": "72378297",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rye, NY

Sources for this page

Verify at the official NPI Registry.