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MARIAN SUSAN SANBORN LCSW PLLC
NPI 1508548744
Clinic/Center - Mental Health (Including Community Mental Health Center) in Port Jervis, NY

Active since August 07, 2023
136 JERSEY AVE, PORT JERVIS, NY 12771(845) 328-0133 Get Directions Write a Review

NPPES record last updated: December 22, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 16, 2023, Aug 7, 2023 (2 updates tracked since 2023).

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

NPI1508548744
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameMARIAN SUSAN SANBORN LCSW PLLC
Location Address136 JERSEY AVEPort Jervis, NY 12771-2611
Mailing Address700 Avenue MMatamoras, PA 18336-1811 · (845) 328-0133
Phone(845) 328-0133
Organization SubpartNo
Authorized OfficialNicole SabornInsurance Coordinator · (570) 994-6920
Enumeration DateAugust 7, 2023
Last NPPES UpdateDecember 22, 20232 updates tracked since enumeration
NPPES CertifiedDecember 22, 2023
✔ NPI 1508548744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
136 JERSEY AVE, Port Jervis, NY 12771
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMANDA E WESTFALL LCSW
Social Worker (Clinical)
136 JERSEY AVE
PORT JERVIS, NY 12771
Orange County (845) 239-2084

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.

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.