Provider Demographics
NPI:1629250071
Name:NASSER-MARSH, NANCY FRANCES (MSW, LCSW)
Entity Type:Individual
Prefix:MS
First Name:NANCY
Middle Name:FRANCES
Last Name:NASSER-MARSH
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2306 NE GLISAN ST STE 201
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97232-2392
Mailing Address - Country:US
Mailing Address - Phone:503-927-9194
Mailing Address - Fax:503-926-6421
Practice Address - Street 1:2306 NE GLISAN ST STE 201
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97232-2392
Practice Address - Country:US
Practice Address - Phone:503-927-9194
Practice Address - Fax:503-926-6421
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-28
Last Update Date:2023-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR25651041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
ORL2565OtherLCSW LICENSE