NPI 1023209657

Ellen C Marchese, LCSWR

Practitioner Social Worker Northport, NY

Practice location

Address: 27 Gun Club Rd, Northport, NY 11768
Phone: (631) 757-7056
Fax: (631) 757-7069

Registered specialties

Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 104100000X Licence R0308591 (NY)

Other Social Worker providers in New York →

Registry record

NPI: 1023209657
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Aug 2007
Record last updated: 8 Aug 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.