Doctor Name: | RENEA MARSHALL |
NPI Number: | 1013307933 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | C008747 |
Business Practice Address: | 617 S Green St Suite 300 Morganton, NC - 286553517 |
Business Phone Number: | 8284373000 |
Business Fax Number: | 2824374999 |
Mailing Address: | 617 S Green St, Suite 300 MORGANTON |
State: | NC |
Postal Code: | 286553517 |
Phone Number: | 8284373000 |
Fax Number: | 2824374999 |
NPI Enumeration Date: | 01/30/2015 |
NPI Last Update Date: | 01/30/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | C008747 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |