Provider Demographics
NPI:1083964613
Name:MAROHN, FELICIA (LCSW)
Entity Type:Individual
Prefix:
First Name:FELICIA
Middle Name:
Last Name:MAROHN
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 1:411 SAINT MICHAELS DR
Mailing Address - Street 2:SUITE 2
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87505-7655
Mailing Address - Country:US
Mailing Address - Phone:505-231-0035
Mailing Address - Fax:505-982-2196
Practice Address - Street 1:411 SAINT MICHAELS DR
Practice Address - Street 2:SUITE 2
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87505-7655
Practice Address - Country:US
Practice Address - Phone:505-231-0035
Practice Address - Fax:505-982-2196
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-11
Last Update Date:2016-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMC-088531041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical