Provider Demographics
NPI:1316416225
Name:BARBARA MAROTTO MSW, LCSW, PLLC
Entity Type:Organization
Organization Name:BARBARA MAROTTO MSW, LCSW, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:MAROTTO
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LCSW, LCAS
Authorized Official - Phone:919-641-6838
Mailing Address - Street 1:3622 LYCKAN PKWY STE 6005
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27707-2500
Mailing Address - Country:US
Mailing Address - Phone:919-641-6838
Mailing Address - Fax:
Practice Address - Street 1:3622 LYCKAN PKWY STE 6005
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27707-2500
Practice Address - Country:US
Practice Address - Phone:919-641-6838
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-20
Last Update Date:2018-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty