Provider Demographics
NPI:1174835862
Name:BILLINGS, MARCIA D (MARCIA BILLINGS)
Entity Type:Individual
Prefix:
First Name:MARCIA
Middle Name:D
Last Name:BILLINGS
Suffix:
Gender:F
Credentials:MARCIA BILLINGS
Other - Prefix:
Other - First Name:MARCIA
Other - Middle Name:
Other - Last Name:BILLINGS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MARCIA BILLINGS, LCS
Mailing Address - Street 1:1458 PORTLAND AVE
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:CA
Mailing Address - Zip Code:94706-1453
Mailing Address - Country:US
Mailing Address - Phone:510-525-2255
Mailing Address - Fax:
Practice Address - Street 1:1458 PORTLAND AVE
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:CA
Practice Address - Zip Code:94706-1453
Practice Address - Country:US
Practice Address - Phone:510-525-2255
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-09
Last Update Date:2010-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA59741041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical