Provider Demographics
NPI:1326139213
Name:HOWE, MARJORIE A (LCSW)
Entity Type:Individual
Prefix:MS
First Name:MARJORIE
Middle Name:A
Last Name:HOWE
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 1:8221 PARK SIDE DR
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27612-7230
Mailing Address - Country:US
Mailing Address - Phone:919-460-3020
Mailing Address - Fax:919-460-8285
Practice Address - Street 1:8221 PARK SIDE DR
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27612
Practice Address - Country:US
Practice Address - Phone:919-460-3020
Practice Address - Fax:919-460-8285
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-27
Last Update Date:2021-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0000501041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
2860651BMedicare ID - Type Unspecified