MRS. MARILYN T COLLETTA (NPI# 1174706386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174706386 |
| Entity Type | Individual |
| Full Name | MRS. MARILYN T COLLETTA |
| Other Name | MARILYN T LOVELESS |
| Credential | LCSW |
| Practice Address |
17 East Genesee Street Auburn NY 13021 |
| Practice Telephone | 3152539795 |
| Practice Fax Number | 3152533255 |
| Mailing Telephone | 3152539795 |
| Mailing Fax Number | 3152533255 |
| Enumeration Date | 2007-12-11 |
| Last Update Date | 2013-01-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
079872 | NY | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
069596 | NY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01420800 | 05 |
| Street Address |
17 EAST GENESEE STREET |
| City | AUBURN |
| State | NY |
| Zip Code | 13021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518337211 | Ashly Wiggins | Case Manager/Care Coordinator | 17 East Genesee Street, Auburn, NY 13021 | 2015-10-07 |
| 1073885158 | Andrea E Hansen | Case Manager/Care Coordinator | 17 East Genesee Street, Auburn, NY 13021 | 2012-02-03 |
| 1992959092 | Lisa Marie Clancy | Social Worker | 17 East Genesee Street, Auburn, NY 13021-4040 | 2008-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821631078 | Anthony Marino | Counselor | 319 Water St, Syacuse, NY 13021 | 2019-10-21 |
| 1205343811 | Cayuga County Community Health Network, Inc. | Community/Behavioral Health | 2119 W Genesee Street Rd, Auburn, NY 13021 | 2018-01-04 |
| 1427570365 | Sara K Gatewood | Licensed Practical Nurse | 124 Dawson Ave, Auburn, NY 13021 | 2017-07-12 |
| 1407385867 | Trisha Lee South | Registered Nurse | 278 Seymour St, Auburn, NY 13021 | 2017-06-08 |
| 1093263782 | Elizabeth Michelle Smith | Licensed Practical Nurse | 64 Cottage Street, Auburn, NY 13021 | 2016-09-12 |
| 1710360649 | Podiatry Services of Central New York, PC | Podiatrist | 171 Grant Ave, Auburn, NY 13021 | 2015-07-09 |
| 1518361484 | Edward J Currier | Counselor | 34 Wright Ave, Auburn, NY 13021 | 2014-10-21 |
| 1821499815 | Betsi Algar | Licensed Practical Nurse | 22 Scammell Ave, Auburn, NY 13021 | 2014-09-09 |
| 1235554734 | Jodi Saurini | Licensed Practical Nurse | 31 Anderson Circle, Auburn, NY 13021 | 2014-02-20 |
| 1124459896 | Bridget Reilly | Clinic/Center | 210 South Hoopes Ave, Auburn, NY 13021 | 2013-12-06 |
| Find all providers in zip 13021 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487271508 | James Robert Thornton | Social Worker | 398 Rhoes View Dr, Auburn, CA 95603 | 2020-07-06 |
| 1952927733 | Terri Quatrano Simpson, Lcsw, LLC | Social Worker | 79 Main St Ste 201, Auburn, ME 04210-5811 | 2020-06-17 |
| 1881218444 | Kenia Ramirez Hernandez | Social Worker | 29206 45th Pl S, Auburn, WA 98001-2814 | 2020-05-29 |
| 1518510478 | Karri Beling | Social Worker | 155 Center St Bldg E, Auburn, ME 04210-5229 | 2019-07-19 |
| 1043870140 | Shelby Mccartney | Social Worker | 118 N Ross St Ste 2, Auburn, AL 36830-4869 | 2019-06-19 |
| 1578036356 | Nancy Prostak | Social Worker | 3 Lesley Ave, Auburn, MA 01501-3105 | 2019-01-04 |
| 1710456454 | John Charles Rocheford | Social Worker | 7 Magna Vista Dr, Auburn, MA 01501-1215 | 2018-11-23 |
| 1679055941 | Stephanie Storm Lariccia | Social Worker | 1000 Auburn Way S., Auburn, WA 98002 | 2018-09-04 |
| 1538672761 | Kimberly Jean Hanscom | Social Worker | 270 Minot Ave, Auburn, ME 04210-4838 | 2017-11-09 |
| 1881105096 | Christine E Downing | Social Worker | 220 Conrey Dr, Auburn, AL 36830-6104 | 2017-10-14 |
| Find all providers in AUBURN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.