MEDICARE: KATHRYN S MARKS LMSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	130134	NY

General Provider Information

NPI Number	:	1538005277
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHRYN S MARKS LMSW

Provider Business Mailing Address
First Line	:	950 DANBY RD. STE 202F
Second Line	:
City	:	ITHACA
State	:	NY
Zip	:	14850-5663
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	950 DANBY RD. STE 202F
Second Line	:
City	:	ITHACA
State	:	NY
Zip	:	14850-5663
Country	:	US
Telephone Number	:	607-260-3100
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/27/2026
Last Update Date	:	04/27/2026

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Directions to “ KATHRYN S MARKS LMSW” Practice Location

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