MARIAN SUSAN SANBORN LCSW PLLC
NPI 1508548744
Clinic/Center - Mental Health (Including Community Mental Health Center) in Port Jervis, NY
About Marian Susan Sanborn Lcsw Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARIAN SUSAN SANBORN LCSW PLLC (NPI 1508548744) is a healthcare organization registered as a mental health (including community mental health center) in Port Jervis, New York and active in the NPI registry since August 2023. The organization lists Nicole Saborn, Insurance Coordinator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Marian Susan Sanborn Lcsw Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Marian Susan Sanborn Lcsw PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Marian Susan Sanborn Lcsw PLLC's NPI number?
The NPI number for Marian Susan Sanborn Lcsw PLLC is 1508548744. It was assigned to this organization in the NPPES registry on August 7, 2023.
Where is Marian Susan Sanborn Lcsw PLLC located?
Marian Susan Sanborn Lcsw PLLC is located at 136 Jersey Ave, Port Jervis, NY 12771. The listed phone number is (845) 328-0133.
What is Marian Susan Sanborn Lcsw PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.
Is Marian Susan Sanborn Lcsw PLLC enrolled in Medicare?
Yes. Marian Susan Sanborn Lcsw PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Marian Susan Sanborn Lcsw PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Marian Susan Sanborn Lcsw PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Marian Susan Sanborn Lcsw PLLC was last updated on December 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Marian Susan Sanborn Lcsw Pllc · NPI 1508548744
Mental Health (Including Community Mental Health Center) organization in Port Jervis, New York. Organization record, active in the CMS NPPES registry since August 7, 2023.
## Identity
- **NPI:** 1508548744 (Entity type: Organization)
- **Enumerated:** August 7, 2023
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Organization subpart:** No
- **Authorized official:** Nicole Saborn, INSURANCE COORDINATOR
## Practice location
- **Address:** 136 JERSEY AVE, Port Jervis, NY 12771-2611
- **Phone:** (845) 328-0133
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Clinical Social Worker) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 22, 2023
---
Source: [NPI Profile](https://npiprofile.com/npi/1508548744) · Data from the CMS NPPES public registry.