Provider Demographics
NPI:1043794241
Name:CHAMBERS, MARIANNA (LCSW)
Entity Type:Individual
Prefix:
First Name:MARIANNA
Middle Name:
Last Name:CHAMBERS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 MACARA CT
Mailing Address - Street 2:
Mailing Address - City:ANGIER
Mailing Address - State:NC
Mailing Address - Zip Code:27501-8294
Mailing Address - Country:US
Mailing Address - Phone:910-876-4768
Mailing Address - Fax:
Practice Address - Street 1:31 MACARA CT
Practice Address - Street 2:
Practice Address - City:ANGIER
Practice Address - State:NC
Practice Address - Zip Code:27501-8294
Practice Address - Country:US
Practice Address - Phone:910-876-4768
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-24
Last Update Date:2018-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical