Marni Marie Millet, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Syracuse, New York. Her current practice location is
4465 E Genesee St Ste 282, Syracuse, New York. You can reach out to her office (for appointments etc.) via phone at
(315) 480-7160.
Marni Marie Millet is licensed to practice in New York (license number 72 084684) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1124367669.
Healthcare Provider's Profile
| Full Name | Marni Marie Millet |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 4465 E Genesee St Ste 282, Syracuse, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1124367669
- Provider Enumeration Date: 02/04/2013
- Last Update Date: 03/01/2023
Medicare PECOS Information:
- PECOS PAC ID: 4789944323
- Enrollment ID: I20180131000175
Medical Identifiers
Medical identifiers for Marni Marie Millet such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1124367669 | NPI | - | NPPES |
| CASAC-18680 | Other | NY | NEW YORK STATE OFFICE OF ALCOHOL AND SUBSTANCE ABUSE SERVICES |
| 72 084684 | Other | NY | NYS DEPT OF EDUCATION OFFICE OF THE PROFESSIONS |
| 72 084761 | Other | NY | NEW YORK STATE DEPT OF EDUCATION OFFICE OF THE PROFESSIONS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CASAC-18680 (New York) | Secondary |
| 104100000X | Social Worker | 72 084761 (New York) | Secondary |
| 1041C0700X | Social Worker - Clinical | 084684 (New York) | Secondary |
| 1041C0700X | Social Worker - Clinical | 72 084684 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Marni Marie Millet is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Marni Marie Millet, LCSW
2018 Court St,
Syracuse, NY 13208-1904
Ph: (315) 480-7160 | Marni Marie Millet, LCSW
4465 E Genesee St Ste 282,
Syracuse, NY 13214-2229
Ph: (315) 480-7160 |
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