Provider Demographics
NPI:1407076383
Name:MARCUS, ALICE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:ALICE
Middle Name:
Last Name:MARCUS
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 1:165 FRANKLIN ST
Mailing Address - Street 2:
Mailing Address - City:HAWORTH
Mailing Address - State:NJ
Mailing Address - Zip Code:07641-1909
Mailing Address - Country:US
Mailing Address - Phone:201-385-2690
Mailing Address - Fax:
Practice Address - Street 1:310C SAINT NICHOLAS AVE
Practice Address - Street 2:
Practice Address - City:HAWORTH
Practice Address - State:NJ
Practice Address - Zip Code:07641-1829
Practice Address - Country:US
Practice Address - Phone:201-384-3443
Practice Address - Fax:201-384-3443
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC005995001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical