Provider Demographics
NPI:1508949041
Name:NEFF, MARION RUTH (LCSW, MSSW)
Entity Type:Individual
Prefix:
First Name:MARION
Middle Name:RUTH
Last Name:NEFF
Suffix:
Gender:F
Credentials:LCSW, MSSW
Other - Prefix:
Other - First Name:MARION
Other - Middle Name:RUTH
Other - Last Name:WALLACE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW-ACP
Mailing Address - Street 1:1602 LIESCHEN CT
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76012-2245
Mailing Address - Country:US
Mailing Address - Phone:817-548-0959
Mailing Address - Fax:817-548-0959
Practice Address - Street 1:1602 LIESCHEN CT
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76012-2245
Practice Address - Country:US
Practice Address - Phone:817-548-0959
Practice Address - Fax:817-548-0959
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-20
Last Update Date:2009-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX176341041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical