Healthcare Provider Details

I. General information

NPI: 1831661545
Provider Name (Legal Business Name): MARIALAINA MARCHESE LCSW, CASAC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MARIALAINA TALDI LCSW, CASAC

II. Dates (important events)

Enumeration Date: 12/19/2018
Last Update Date: 07/03/2026
Certification Date: 07/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

147 MAIN ST
COLD SPRING HARBOR NY
11724-1425
US

IV. Provider business mailing address

147 MAIN ST
COLD SPRING HARBOR NY
11724-1425
US

V. Phone/Fax

Practice location:
  • Phone: 631-351-2940
  • Fax:
Mailing address:
  • Phone: 631-351-2940
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number103452
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number38538
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: