Active NPI
Marilyn Defalco, LCSW
- Clinical Social Worker
- Rockaway, NJ
National Provider Identifier
1871291955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 32WC00398400
- Practice address
- 22 Mott PL
Rockaway, NJ 07866-3022 - Phone
- (973) 440-0032
- NPI assigned
- Feb 20, 2023
- Sex
- Female
- Sole proprietor
- No
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 | 32WC00398400 | NJ | Primary |
Addresses
Primary practice location
22 Mott PL
Rockaway, NJ 07866-3022
Mailing address
22 Mott PL
Rockaway, NJ 07866-3022
Phone (973) 440-0032
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32WC00398400 | NJ | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676851200000",
"number": "1871291955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 MOTT PL",
"city": "ROCKAWAY",
"state": "NJ",
"postal_code": "078663022",
"telephone_number": "973-440-0032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 MOTT PL",
"city": "ROCKAWAY",
"state": "NJ",
"postal_code": "078663022",
"telephone_number": "973-440-0032"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEFALCO",
"first_name": "MARILYN",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-20",
"last_updated": "2023-02-20",
"certification_date": "2023-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "32WC00398400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockaway, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.