Marc B. Galloway, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

5705213 Issued in NY

Practice address

19 Chestnut St
Massapequa, NY 11758-5120

Phone

(516) 528-5876

NPI assigned

Mar 24, 2007

Last updated

May 24, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1174694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306195200000",
    "number": "1962529727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 E MERRICK RD UNIT 2",
            "address_2": "SUITE # 161",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115204056",
            "telephone_number": "516-528-5876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 CHESTNUT ST",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117585120",
            "telephone_number": "516-528-5876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLOWAY",
        "first_name": "MARC",
        "middle_name": "B.",
        "name_prefix": "Mr.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-24",
        "last_updated": "2011-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "5705213",
            "primary": true
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NY",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jake Diego Furnari
• Jarred Fusco
• Jennifer M Fydell, MSED
• Juditho Elma Gadingan, LPN
• Victoria Gaitings
• Connor Joseph Games
• Annette Gannon, COTA
• Suzette Garcia Rennella, MS
• Jennifer Lynn Garcia, MS
• Susan Ellen Gardner, LCSW

• Clinical Social Worker in Massapequa, NY
• Providers in Massapequa, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2011; 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.