Marci Kaufman Licensed Clinical Social Worker Inc.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

29646 Issued in CA

Legal business name

MARCI KAUFMAN LICENSED CLINICAL SOCIAL WORKER INC.

Practice address

2425 Park Blvd
Suite #B102
Palo Alto, CA 94306-1931

Phone

(516) 996-6693

NPI assigned

Nov 16, 2015

Last updated

Nov 16, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marci Kaufman, LCSWNPI 1194191098

Title

Licensed Clinical Social Worker

Phone

(516) 996-6693

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marci Kaufman

  • Clinical Social Worker
  • Palo Alto, CA
  • NPI 1194191098
  Authorized official Same address or phone

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

{
    "created_epoch": "1447632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447632000000",
    "number": "1952775835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 PARK BLVD",
            "address_2": "SUITE #B102",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943061931",
            "telephone_number": "516-996-6693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 PARK BLVD",
            "address_2": "SUITE #B102",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943061931",
            "telephone_number": "516-996-6693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARCI KAUFMAN LICENSED CLINICAL SOCIAL WORKER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-16",
        "last_updated": "2015-11-16",
        "status": "A",
        "authorized_official_last_name": "KAUFMAN",
        "authorized_official_first_name": "MARCI",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "516-996-6693",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "29646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellena An Lunn Mar, PHARMD, APH, BCACP
• Olivia Marais, MD
• Kajal Maran, MD
• Kristen Ann Maranan, DPT
• Madeline Elizabeth Ruth Marcelle, MD, PHD
• Michael Gerard Marcos, R.N.
• Paul Marcus
• Farah Mardini, RD
• Christopher Mardy, M.D.
• Kathleen Campion Marek, M.A., MFT

• Clinical Social Worker in Palo Alto, CA
• Providers in Palo Alto, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2015; 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.