Active NPI
Marnie Lynn Halpert, L.C.S.W.
- Clinical Social Worker
- Philadelphia, PA
National Provider Identifier
1851578223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 075667
- Practice address
- 100 S. Broad Street
Suite 1515
Philadelphia, PA 19110 - Phone
- (203) 536-4903
- NPI assigned
- Jan 28, 2008
- Last updated
- Aug 16, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 075667 | NY | Primary |
Addresses
Primary practice location
100 S. Broad Street
Suite 1515
Philadelphia, PA 19110
Mailing address
100 S. Broad Street
Suite 1515
Philadelphia, PA 19110
Phone (203) 536-4903
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Dec 10, 2021 through Dec 10, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 075667 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723766400000",
"number": "1851578223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 S. BROAD STREET",
"address_2": "SUITE 1515",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19110",
"telephone_number": "203-536-4903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 S. BROAD STREET",
"address_2": "SUITE 1515",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19110",
"telephone_number": "203-536-4903"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALPERT",
"first_name": "MARNIE",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "L.C.S.W.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-01-28",
"last_updated": "2024-08-16",
"certification_date": "2021-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "075667",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.