Provider Demographics
NPI:1376686378
Name:ORMAN, MARSHA (LCSW)
Entity Type:Individual
Prefix:MS
First Name:MARSHA
Middle Name:
Last Name:ORMAN
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 1:462 N. LINDEN
Mailing Address - Street 2:STE 234
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90212
Mailing Address - Country:US
Mailing Address - Phone:310-289-5442
Mailing Address - Fax:310-826-3271
Practice Address - Street 1:462 N LINDEN DR
Practice Address - Street 2:STE 234
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90212-2247
Practice Address - Country:US
Practice Address - Phone:310-289-5442
Practice Address - Fax:310-826-3271
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS213551041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CASW21355Medicare ID - Type Unspecified