Provider Demographics
NPI:1114175320
Name:LEMASTER, MARINA DANIELLE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:MARINA
Middle Name:DANIELLE
Last Name:LEMASTER
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 1:419 PENINSULA DR
Mailing Address - Street 2:
Mailing Address - City:LAKE ALMANOR
Mailing Address - State:CA
Mailing Address - Zip Code:96137-9683
Mailing Address - Country:US
Mailing Address - Phone:530-258-7949
Mailing Address - Fax:530-283-6045
Practice Address - Street 1:419 PENINSULA DR
Practice Address - Street 2:
Practice Address - City:LAKE ALMANOR
Practice Address - State:CA
Practice Address - Zip Code:96137-9683
Practice Address - Country:US
Practice Address - Phone:530-258-7949
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-29
Last Update Date:2021-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA968281041C0700X, 1041C0700X
CAASW684681041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical