Active NPI
Marianne Walsh, M.S.W., M. A.
- Mental Health Counselor
- Rye, NY
National Provider Identifier
1790841963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LCSW R033920-1
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 167974 | Other | NY | MENTAL HEALTH NETWORK |
| 135522 | Other | NY | VALUE OPTIONS MHS PROVIDE |
| P1296544 | Other | NY | OXFORD PROVIDER |
| 0006950 | Other | NY | GHI PIN# |
| 72378297 | Other | NY | UNITED 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW SC06014 | NJ | MD | Mental Health Counselor |
| LCSW R033920-1 | NY | MD | Mental 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.