Doctor Name: | THERESA MARCIN |
NPI Number: | 1184868168 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 056424-1 |
Business Practice Address: | 152 Broadway Dobbs Ferry, NY - 105222847 |
Business Phone Number: | 9144795411 |
Business Fax Number: | 9144795411 |
Mailing Address: | 152 Broadway, DOBBS FERRY |
State: | NY |
Postal Code: | 105222847 |
Phone Number: | 9144795411 |
Fax Number: | 9144795411 |
NPI Enumeration Date: | 04/22/2009 |
NPI Last Update Date: | 06/18/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 056424-1 |
Healthcare Provider Taxonomy: (Secondary) | N |
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 |