Mara Gottlieb, PHD, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

MSW.002144 Issued in CT

Practice address

112 Southfield Ave PH 7
Stamford, CT 06902-7666

Phone

(917) 880-2294

NPI assigned

Mar 11, 2024

Sex

Female

Sole proprietor

Yes

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

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1710115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1922866201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 SOUTHFIELD AVE PH 7",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069027666",
            "telephone_number": "917-880-2294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 SOUTHFIELD AVE PH 7",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069027666",
            "telephone_number": "917-880-2294"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "80 Mill River St Ste 1500",
            "address_purpose": "LOCATION",
            "city": "Stamford",
            "state": "CT",
            "postal_code": "069023756",
            "country_code": "US",
            "telephone_number": "917-880-2294",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOTTLIEB",
        "first_name": "MARA",
        "name_prefix": "Dr.",
        "credential": "PHD, LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-11",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CT",
            "license": "MSW.002144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sneha Gosalia, DPT, PT
• Erica Danielle Gosling, MA, CCC-SLP
• Rebekah Mara Gospin, M.D.
• Gotham Medical Services
• Amy B Gottesman, OTRL, CHT
• Scott Gottlieb, MD
• Debra K Gotz, MD
• Pratima Goyal, M.D.
• Joseph Grabicki, D.P.T.
• Grade a Market Inc

• Social Worker in Stamford, CT
• Providers in Stamford, CT by specialty
• Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; 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.