Provider Demographics
NPI:1114017597
Name:CAREY, MARCIA (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:MARCIA
Middle Name:
Last Name:CAREY
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:PO BOX 450
Mailing Address - Street 2:
Mailing Address - City:ACCOMAC
Mailing Address - State:VA
Mailing Address - Zip Code:23301-0450
Mailing Address - Country:US
Mailing Address - Phone:757-789-3411
Mailing Address - Fax:
Practice Address - Street 1:16198 WAREHOUSE RD
Practice Address - Street 2:
Practice Address - City:MELFA
Practice Address - State:VA
Practice Address - Zip Code:23410-3525
Practice Address - Country:US
Practice Address - Phone:757-710-6190
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-13
Last Update Date:2012-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0904004392101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional