Provider Demographics
NPI:1235686635
Name:SUTTON, MARCIA D (MSW)
Entity Type:Individual
Prefix:MRS
First Name:MARCIA
Middle Name:D
Last Name:SUTTON
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:MRS
Other - First Name:MARCIA
Other - Middle Name:D
Other - Last Name:NUNES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:9800 W. COMMERCIAL BLVD
Mailing Address - Street 2:
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33351
Mailing Address - Country:US
Mailing Address - Phone:954-475-5500
Mailing Address - Fax:
Practice Address - Street 1:9800 W. COMMERCIAL BLVD
Practice Address - Street 2:
Practice Address - City:SUNRISE
Practice Address - State:FL
Practice Address - Zip Code:33351-4325
Practice Address - Country:US
Practice Address - Phone:954-475-5500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-02
Last Update Date:2016-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical