Provider Demographics
NPI:1578663647
Name:CARPIO, MARIANNA (LCSW-R)
Entity Type:Individual
Prefix:MS
First Name:MARIANNA
Middle Name:
Last Name:CARPIO
Suffix:
Gender:F
Credentials:LCSW-R
Other - Prefix:MRS
Other - First Name:MARIANNA
Other - Middle Name:
Other - Last Name:KAZAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:110 W 97TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-6450
Mailing Address - Country:US
Mailing Address - Phone:212-316-7923
Mailing Address - Fax:212-316-7945
Practice Address - Street 1:110 W 97TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-6450
Practice Address - Country:US
Practice Address - Phone:212-316-7923
Practice Address - Fax:212-316-7945
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2008-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY053931-1104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker