Marisa Mabli, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

075282-1 Issued in NY

Practice address

3009 Broadway
New York, NY 10027-6909

Phone

(212) 854-2128

NPI assigned

Jan 28, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Primary Care Health Service

  • Student Health Clinic/Center
  • New York, NY
  • NPI 1144300070
  NPD (past)

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

{
    "created_epoch": "1264636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443052800000",
    "number": "1811228018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3009 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100276909",
            "telephone_number": "212-854-2128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3009 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100276909",
            "telephone_number": "212-854-2128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MABLI",
        "first_name": "MARISA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-28",
        "last_updated": "2015-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "075282-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSQ",
            "identifier": "075282-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Omri Maayan, MD
• Shlomo Maayan, MD
• Mab Dental P.C.
• Aisha M Mabarak, LMHC
• Kyle Mabb, LMSW
• Gloria Jean Mabry, PA
• Kevin Mabry, LCSW
• Sheilah Denise Mabry, LCSW-R
• Tarub Sayeed Mabud, MD
• Kelly Maby

• Clinical Social Worker in New York, NY
• Providers in New York, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2015; 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.