Provider Demographics
NPI:1619099579
Name:LEHRMARI, MARCELINE BARBARA (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:MARCELINE
Middle Name:BARBARA
Last Name:LEHRMARI
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 CHURCH STREET
Mailing Address - Street 2:#B52
Mailing Address - City:GREENWICH
Mailing Address - State:CT
Mailing Address - Zip Code:06830
Mailing Address - Country:US
Mailing Address - Phone:203-625-6272
Mailing Address - Fax:203-622-1970
Practice Address - Street 1:411 THEODORE FREMD AVE
Practice Address - Street 2:HQ
Practice Address - City:RYE
Practice Address - State:NY
Practice Address - Zip Code:10580
Practice Address - Country:US
Practice Address - Phone:917-226-1466
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR023003104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY11703878OtherCAQH
NY740229OtherGHI
NY108704OtherMHN
NY108704OtherMHN