Provider Demographics
NPI:1518671155
Name:BARGE, F. MARLENA (LISW-S)
Entity Type:Individual
Prefix:
First Name:F.
Middle Name:MARLENA
Last Name:BARGE
Suffix:
Gender:F
Credentials:LISW-S
Other - Prefix:
Other - First Name:FELICIA
Other - Middle Name:MARLENA
Other - Last Name:BARGE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LISW-S
Mailing Address - Street 1:980 LANDINGS LOOP S
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43082-7424
Mailing Address - Country:US
Mailing Address - Phone:614-981-0024
Mailing Address - Fax:
Practice Address - Street 1:980 LANDINGS LOOP S
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43082-7424
Practice Address - Country:US
Practice Address - Phone:614-981-0024
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-09
Last Update Date:2023-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI.1302781-SUPV1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical