Active NPI
Marian Elizabeth Clarke, LCSW
- Clinical Social Worker
- East Meadow, NY
National Provider Identifier
1922126309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- PR0190871
- Practice address
- 2201 Hempstead Turnpike
Nassau University Medical Center
East Meadow, NY 11554 - Phone
- (516) 572-6847
- NPI assigned
- Mar 26, 2007
- Last updated
- Jul 8, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | PR0190871 | NY | Primary |
| Clinical Social Worker | 1041C0700X | SW1637 | FL |
Addresses
Primary practice location
2201 Hempstead Turnpike
Nassau University Medical Center
East Meadow, NY 11554
Mailing address
75 Noble St
Apt 132
Lynbrook, NY 11563
Phone (516) 568-2040
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW1637 | FL | MD | Clinical Social Worker |
| PR0190871 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peninsula Counseling Center,Inc | Current | Accepting new patients |
Locations
50 W Hawthorne Ave
Valley Stream, NY 11580
Phone (516) 524-3846
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Valley Stream, NY
- NPI 1437262839
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1922126309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 NOBLE ST",
"address_2": "APT 132",
"city": "LYNBROOK",
"state": "NY",
"postal_code": "11563",
"telephone_number": "516-568-2040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2201 HEMPSTEAD TURNPIKE",
"address_2": "NASSAU UNIVERSITY MEDICAL CENTER",
"city": "EAST MEADOW",
"state": "NY",
"postal_code": "11554",
"telephone_number": "516-572-6847"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARKE",
"first_name": "MARIAN",
"middle_name": "ELIZABETH",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "PR0190871",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW1637",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Meadow, NY
- Alexandra Marie Cipolla, DPT
- Elizabeth Cirincione, M.D.
- Annelise Cisek, DPT
- City Medical of Upper East Side, PLLC (CityMD Urgent Care)
- Bernadette Claravall
- Clear Healthcure LLC
- Clear View MRI (central nassau diagnostic)
- Amanda Gwyneth Clyburn
- Co-Active Physical Therapy-Rehab Associates PLLC
- Arianna A Cochran-Perryman
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.