Melissa Tatiana Marquez, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C010379 Issued in NC

Practice address

299 Lloyd St
Carrboro, NC 27510-1821

Phone

(919) 933-8494

NPI assigned

Jun 29, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Melissa Tatiana Marquez Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1277769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472688000000",
    "number": "1962713586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "299 LLOYD ST",
            "city": "CARRBORO",
            "state": "NC",
            "postal_code": "275101821",
            "telephone_number": "919-933-8494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 LLOYD ST",
            "city": "CARRBORO",
            "state": "NC",
            "postal_code": "275101821",
            "telephone_number": "919-933-8494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARQUEZ",
        "first_name": "MELISSA",
        "middle_name": "TATIANA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-29",
        "last_updated": "2016-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09923418",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C010379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "MARQUEZ",
            "middle_name": "TATIANA",
            "prefix": "MS.",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Priscillah T Makuchete Chigodo, MSW, LCSW-A
• Rhonda L Maloney, MSN, NP-C
• Erin Rose McConnell Mann, MSOT, OTR/L
• James Peter Manor, MD
• Kristine Strutton Mansfield, PT, DPT
• Sydney Rae Martin, LCSW
• Martine Luntz
• Sally Francise Maslansky, LMFT
• Sara McGrath Matherly, PH.D.
• Matthew D Vizithum OD PLLC

• Clinical Social Worker in Carrboro, NC
• Providers in Carrboro, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.