Individual provider Active NPI

Marina Landviger, LMSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1952805632
Registry record updated Jan 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
096691 Issued in NY
Practice address
116 W 32ND St
New York, NY 10001-3212
Phone
(212) 564-2350
NPI assigned
Mar 19, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 096691 NY Primary

Addresses

Primary practice location

116 W 32ND St
New York, NY 10001-3212

Mailing address

2041 W 6TH St
Brooklyn, NY 11223-3737
Phone (347) 420-1102

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
I20240402002047 NY Practitioner - Clinical Social Worker 2668810284 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Timely Psychiatry and Family Health NP PracticeGroup PAC ID 8628433414, 6 clinicians

Practice addresses (Care Compare)

230 Hilton Ave
Suite 103
Hempstead, NY 11550-8116
Phone (516) 464-0266

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
096691NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Timely Psychiatry and Family Health NP Practice CurrentSince Jul 1, 2025 Accepting new patients

Locations

230 Hilton Ave
Ste 103
Hempstead, NY 11550
Phone (516) 464-0266

230 Hilton Ave
Ste 15
Hempstead, NY 11550
Phone (516) 464-0266

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": "1521417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704326400000",
    "number": "1952805632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2041 W 6TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112233737",
            "telephone_number": "347-420-1102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 W 32ND ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100013212",
            "telephone_number": "212-564-2350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDVIGER",
        "first_name": "MARINA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-19",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "096691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.