Doctor Name: | MARCIA SAGE |
NPI Number: | 1043465818 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 004706 |
Business Practice Address: | 9 Benedict Pl Greenwich, CT - 068305309 |
Business Phone Number: | 2036611009 |
Business Fax Number: | 2036611176 |
Mailing Address: | 9 Benedict Pl, GREENWICH |
State: | CT |
Postal Code: | 068305309 |
Phone Number: | 2036611009 |
Fax Number: | 2036611176 |
NPI Enumeration Date: | 11/20/2008 |
NPI Last Update Date: | 09/27/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 004706 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |