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NPI Code Detail

MEDICARE: MS. MARILUS CASTELLANOS LCSW

MEDICARE:  MS. MARILUS  CASTELLANOS  LCSW
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
1104100000XSocial Worker089171NY

General Provider Information

NPI Number : 1215361175
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MARILUS CASTELLANOS LCSW
Provider Business Mailing Address
First Line : 14 MARSHALL ST APT 9C
Second Line :
City : IRVINGTON
State : NJ
Zip : 07111-8632
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 184 ELDRIDGE ST RM 408
Second Line :
City : NEW YORK
State : NY
Zip : 10002-2992
Country : US
Telephone Number : 212-453-4540
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/28/2013
Last Update Date : 02/11/2021

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Directions to “ MS. MARILUS CASTELLANOS LCSW” Practice Location

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