Provider Demographics
NPI:1578816237
Name:HOHUSEN, MARION (LMSW)
Entity Type:Individual
Prefix:MS
First Name:MARION
Middle Name:
Last Name:HOHUSEN
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WESTHAMPTON BEACH
Mailing Address - State:NY
Mailing Address - Zip Code:11978-2673
Mailing Address - Country:US
Mailing Address - Phone:631-288-1954
Mailing Address - Fax:631-288-1195
Practice Address - Street 1:40 MAIN ST
Practice Address - Street 2:
Practice Address - City:WESTHAMPTON BEACH
Practice Address - State:NY
Practice Address - Zip Code:11978-2673
Practice Address - Country:US
Practice Address - Phone:631-288-1954
Practice Address - Fax:631-288-1195
Is Sole Proprietor?:No
Enumeration Date:2012-10-18
Last Update Date:2012-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY080377-1104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker