Provider Demographics
NPI:1417080433
Name:SHRABERG, MARILYN RINEY (LCSW)
Entity Type:Individual
Prefix:MS
First Name:MARILYN
Middle Name:RINEY
Last Name:SHRABERG
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 1:5119 CITRUS BLVD
Mailing Address - Street 2:#332
Mailing Address - City:RIVER RIDGE
Mailing Address - State:LA
Mailing Address - Zip Code:70123-7128
Mailing Address - Country:US
Mailing Address - Phone:504-432-3017
Mailing Address - Fax:
Practice Address - Street 1:5119 CITRUS BLVD
Practice Address - Street 2:#332
Practice Address - City:RIVER RIDGE
Practice Address - State:LA
Practice Address - Zip Code:70123-7128
Practice Address - Country:US
Practice Address - Phone:504-432-3017
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA2871041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical