Provider Demographics
NPI:1346707551
Name:MARCELIN, ANNA MARIA (LCSW, MED)
Entity Type:Individual
Prefix:
First Name:ANNA MARIA
Middle Name:
Last Name:MARCELIN
Suffix:
Gender:F
Credentials:LCSW, MED
Other - Prefix:
Other - First Name:A. MARIA
Other - Middle Name:
Other - Last Name:MARCELIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW, MED
Mailing Address - Street 1:405 FOULK RD
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19803-3809
Mailing Address - Country:US
Mailing Address - Phone:302-468-7658
Mailing Address - Fax:302-655-1149
Practice Address - Street 1:405 FOULK RD
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19803-3809
Practice Address - Country:US
Practice Address - Phone:302-468-7658
Practice Address - Fax:302-655-1149
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-24
Last Update Date:2019-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEQ1-00016831041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical