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Provider Information for 1376824680


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MARILYN CASTILLO GARCIA LCSW


Sex: Female

NPI: 1376824680
Last Updated: 2024-10-03
Certification Date: 2024-10-03

Details

NameValue
NPI1376824680
Enumeration Date2011-08-31
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 200 BEACON HILL DR APT 3G
DOBBS FERRY, NY 10522-7007
United States

Phone: 914-258-2571 | Fax:914-338-7335
 
Primary Practice Address 73 MARKET ST
YONKERS, NY 10710-7616
United States

Phone: 914-295-2409 | Fax:914-888-2155
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 1041C0700X - Social Worker - ClinicalIA109103
No 1041C0700X - Social Worker - ClinicalVA0904013121
No 1041C0700X - Social Worker - ClinicalNJ44SC06152000
Yes 1041C0700X - Social Worker - ClinicalNY086236-01