Provider Demographics
NPI:1689003972
Name:MARRELLI, ANELLINA (LCSW)
Entity Type:Individual
Prefix:
First Name:ANELLINA
Middle Name:
Last Name:MARRELLI
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 1:312 S CEDROS AVE
Mailing Address - Street 2:SUITE 304
Mailing Address - City:SOLANA BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92075-1979
Mailing Address - Country:US
Mailing Address - Phone:858-481-5353
Mailing Address - Fax:
Practice Address - Street 1:312 S CEDROS AVE
Practice Address - Street 2:SUITE 304
Practice Address - City:SOLANA BEACH
Practice Address - State:CA
Practice Address - Zip Code:92075-1979
Practice Address - Country:US
Practice Address - Phone:858-481-5353
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-06
Last Update Date:2013-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS 116511041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical