Doctor Name: | MRS. MARIANNE FARELLA |
NPI Number: | 1174711568 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW-R |
License Number: | R048675-1 |
Business Practice Address: | 8819 Cross Island Pkwy Bellerose, NY - 114261633 |
Business Phone Number: | 7183435938 |
Business Fax Number: | |
Mailing Address: | 115 N Cottage St, VALLEY STREAM |
State: | NY |
Postal Code: | 115804427 |
Phone Number: | 5168252454 |
Fax Number: | |
NPI Enumeration Date: | 10/10/2007 |
NPI Last Update Date: | 10/10/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | R048675-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |