Provider Demographics
NPI:1225111701
Name:HRIM, MARYBETH NONE (LCSW)
Entity Type:Individual
Prefix:
First Name:MARYBETH
Middle Name:NONE
Last Name:HRIM
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 1:1450 VILLA JUNO DR S
Mailing Address - Street 2:
Mailing Address - City:JUNO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33408
Mailing Address - Country:US
Mailing Address - Phone:561-373-1509
Mailing Address - Fax:
Practice Address - Street 1:900 E INDIANTOWN RD
Practice Address - Street 2:SUITE #311
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33408
Practice Address - Country:US
Practice Address - Phone:561-373-1509
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-20
Last Update Date:2014-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW60061041C0700X
CALCS234971041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical