Individual provider Active NPI

Jennifer Marciano, LCSW

  • Social Worker
  • Bronx, NY
National Provider Identifier
1891852174
Registry record updated Jan 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
052373-1 Issued in NY
Practice address
500 E Tremont Ave
Bronx, NY 10457-4514
Phone
(201) 923-2309
NPI assigned
Jan 3, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 052373-1 NY Primary

Addresses

Primary practice location

500 E Tremont Ave
Bronx, NY 10457-4514

Mailing address

184 Hillside Ave
#I - 2
Leonia, NJ 07605-1666
Phone (718) 960-1069

Other practice location 1

1650 Selwyn Ave
#7A
Bronx, NY 10457-7626
Phone (718) 960-1069

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
I20100524000310 NY Practitioner - Clinical Social Worker 7214066604 Practice locations: Bronx, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
052373-1NYMDSocial Worker
052373NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bronx Internal Medicine Associates P.C. PastSince Nov 1, 2014 Accepting new patients

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516665600000",
    "number": "1891852174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "184 HILLSIDE AVE",
            "address_2": "#I - 2",
            "city": "LEONIA",
            "state": "NJ",
            "postal_code": "076051666",
            "telephone_number": "718-960-1069",
            "fax_number": "718-960-1354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E TREMONT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104574514",
            "telephone_number": "201-923-2309"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1650 Selwyn Ave",
            "address_2": "#7A",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104577626",
            "country_code": "US",
            "telephone_number": "718-960-1069",
            "fax_number": "718-960-1354",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARCIANO",
        "first_name": "JENNIFER",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-03",
        "last_updated": "2018-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "052373-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.