Individual provider Active NPI

Marianne Esolen, L.C.S.W.

  • Clinical Social Worker
  • Huntington, NY
National Provider Identifier
1962948950
Registry record updated Jan 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
079854-1 Issued in NY
Practice address
23 Green St
Suite 101
Huntington, NY 11743-3336
Phone
(631) 219-3400
NPI assigned
Jan 13, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2017

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 079854-1 NY Primary

Addresses

Primary practice location

23 Green St
Suite 101
Huntington, NY 11743-3336

Mailing address

27 Rolling Hills Dr
Huntington Station, NY 11746-1351
Phone (631) 424-4979

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Nov 29, 2022 through Nov 29, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
079854NYMDSocial Worker
079854-1NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1484265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484265600000",
    "number": "1962948950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 ROLLING HILLS DR",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117461351",
            "telephone_number": "631-424-4979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 GREEN ST",
            "address_2": "SUITE 101",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117433336",
            "telephone_number": "631-219-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESOLEN",
        "first_name": "MARIANNE",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-13",
        "last_updated": "2017-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "079854-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, NY

Sources for this page

Verify at the official NPI Registry.