Provider Demographics
NPI:1346405115
Name:DRUCKER, MARLENE JOAN (MSW)
Entity Type:Individual
Prefix:MS
First Name:MARLENE
Middle Name:JOAN
Last Name:DRUCKER
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1655 FORT MYER DR
Mailing Address - Street 2:SUITE 350
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22209-3113
Mailing Address - Country:US
Mailing Address - Phone:703-465-1515
Mailing Address - Fax:703-465-4443
Practice Address - Street 1:1655 FORT MYER DR
Practice Address - Street 2:SUITE 350
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22209-3113
Practice Address - Country:US
Practice Address - Phone:703-465-1515
Practice Address - Fax:703-465-4443
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-22
Last Update Date:2008-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0904000244101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health