Provider Demographics
NPI:1518261015
Name:FROMUTH, MARLELLE APRIL (LCSW)
Entity Type:Individual
Prefix:MISS
First Name:MARLELLE
Middle Name:APRIL
Last Name:FROMUTH
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 1:800 HERITAGE DR
Mailing Address - Street 2:STE 810
Mailing Address - City:POTTSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19464-9220
Mailing Address - Country:US
Mailing Address - Phone:610-396-9091
Mailing Address - Fax:
Practice Address - Street 1:1255 PERKIOMEN AVE
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19602-1337
Practice Address - Country:US
Practice Address - Phone:610-396-9091
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-12-27
Last Update Date:2017-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0166961041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical