Marilyn Grace Heino, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1019758 Issued in MA

Practice address

264 Beacon St
Fifth Floor
Boston, MA 02116-1236

Phone

(617) 731-0535

NPI assigned

Oct 10, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992892988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 STRATHMORE RD",
            "address_2": "#22",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021357109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "264 BEACON ST",
            "address_2": "FIFTH FLOOR",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021161236",
            "telephone_number": "617-731-0535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEINO",
        "first_name": "MARILYN",
        "middle_name": "GRACE",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1019758",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "080313",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brent Heimlich, PA-C
• Danielle Alexandra Heims-Waldron, MD
• Carrie Lynn Heincelman, MD
• Patrick Vaughan Heindel, MD
• Emily A Heinen, PA
• Edythe Le Heins
• Timothy Alexander Heintz
• Alexandra Marie Heinz, LICSW
• Dar Heinze, M.D.
• Paul Joseph Heinzelmann, M.D.

• Clinical Social Worker in Boston, MA
• Providers in Boston, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.