Provider Demographics
NPI:1578628475
Name:GREENBERG, MARILYN (LPC)
Entity Type:Individual
Prefix:MS
First Name:MARILYN
Middle Name:
Last Name:GREENBERG
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 58
Mailing Address - Street 2:10917 CLERMONT AVENUE
Mailing Address - City:GARRETT PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20896
Mailing Address - Country:US
Mailing Address - Phone:301-942-8309
Mailing Address - Fax:
Practice Address - Street 1:5247 WISCONSIN AVE NW
Practice Address - Street 2:NO 3 2ND FLOOR
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20015
Practice Address - Country:US
Practice Address - Phone:202-237-5873
Practice Address - Fax:202-237-8554
Is Sole Proprietor?:No
Enumeration Date:2006-12-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPRC1040101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health