Provider Demographics
NPI:1679351183
Name:MALANAPHY, MARIANNE (LCSW)
Entity Type:Individual
Prefix:
First Name:MARIANNE
Middle Name:
Last Name:MALANAPHY
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 1:81 THOMPSON ST FL 2
Mailing Address - Street 2:
Mailing Address - City:RARITAN
Mailing Address - State:NJ
Mailing Address - Zip Code:08869-1546
Mailing Address - Country:US
Mailing Address - Phone:203-240-1727
Mailing Address - Fax:
Practice Address - Street 1:81 THOMPSON ST FL 2
Practice Address - Street 2:
Practice Address - City:RARITAN
Practice Address - State:NJ
Practice Address - Zip Code:08869-1546
Practice Address - Country:US
Practice Address - Phone:203-240-1727
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-18
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC062634001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty