Marielena Louisa Szumowski, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

089.0094117 Issued in VT

Practice address

205 1/2 N Winooski Ave
Burlington, VT 05401-3619

Phone

(888) 492-8218

NPI assigned

Sep 23, 2014

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1411430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411430400000",
    "number": "1912309808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 1/2 N WINOOSKI AVE",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054013619",
            "telephone_number": "888-492-8218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 1/2 N WINOOSKI AVE",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054013619",
            "telephone_number": "888-492-8218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SZUMOWSKI",
        "first_name": "MARIELENA",
        "middle_name": "LOUISA",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-23",
        "last_updated": "2014-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "089.0094117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Safoora Bakhtiyar Syeda, MD
• Hannah Jeanette Sylvester, PA-C, AEMT
• Jennifer A Synnott
• Stephanie Szkaradnik, LICSW
• Alexandra Mae Szotka, MS
• Diane Tabachnick, PA-C
• Kreager Anne Taber, MD
• Jacob Miller Tadje
• Sarah Grace Gibbs Tadje, MD
• Tage Lilja Licsw PLC

• Clinical Social Worker in Burlington, VT
• Providers in Burlington, VT by specialty
• Clinical Social Worker in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2014; 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.