Provider Demographics
NPI:1326694316
Name:DOWNS, MARILYN FRANCES (PHD, LICSW)
Entity Type:Individual
Prefix:DR
First Name:MARILYN
Middle Name:FRANCES
Last Name:DOWNS
Suffix:
Gender:F
Credentials:PHD, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39 ORVIS RD
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02474-8545
Mailing Address - Country:US
Mailing Address - Phone:718-640-1649
Mailing Address - Fax:
Practice Address - Street 1:89 MASSACHUSETTS AVE
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:MA
Practice Address - Zip Code:02474-8633
Practice Address - Country:US
Practice Address - Phone:339-209-0182
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-15
Last Update Date:2019-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10170471041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical