| Doctor Name: | TISELA M MARRERO |
| NPI Number: | 1043603103 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSW,RCSWI |
| License Number: | ISW9021 |
| Business Practice Address: | 3201 Budinger Ave Saint Cloud, FL - 347697203 |
| Business Phone Number: | 4078913054 |
| Business Fax Number: | 8884777678 |
| Mailing Address: | 2575 Eagle Bay Blvd, KISSIMMEE |
| State: | FL |
| Postal Code: | 347436093 |
| Phone Number: | 4075521019 |
| Fax Number: | |
| NPI Enumeration Date: | 03/13/2015 |
| NPI Last Update Date: | 03/13/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | ISW9021 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |