Provider Demographics
NPI:1518229350
Name:KNEZ, MARIJANA (LCSW)
Entity Type:Individual
Prefix:MS
First Name:MARIJANA
Middle Name:
Last Name:KNEZ
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:MARIJANA
Other - Middle Name:
Other - Last Name:KNEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:2785 DIANE ST
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97520-3774
Mailing Address - Country:US
Mailing Address - Phone:808-225-1058
Mailing Address - Fax:
Practice Address - Street 1:534 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:OR
Practice Address - Zip Code:97520-1682
Practice Address - Country:US
Practice Address - Phone:808-225-1058
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-07
Last Update Date:2021-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORL52221041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical