Provider Demographics
NPI:1588807481
Name:MARINO, KALIE (MSW)
Entity type:Individual
Prefix:MRS
First Name:KALIE
Middle Name:
Last Name:MARINO
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:444 CHESTNUT RD
Mailing Address - Street 2:
Mailing Address - City:WARMINSTER
Mailing Address - State:PA
Mailing Address - Zip Code:18974-4301
Mailing Address - Country:US
Mailing Address - Phone:215-672-1599
Mailing Address - Fax:215-672-5955
Practice Address - Street 1:444 CHESTNUT RD
Practice Address - Street 2:
Practice Address - City:WARMINSTER
Practice Address - State:PA
Practice Address - Zip Code:18974-4301
Practice Address - Country:US
Practice Address - Phone:215-672-1599
Practice Address - Fax:215-672-5955
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-08
Last Update Date:2009-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW011354L1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical