Provider Demographics
NPI:1710144373
Name:MAROLF, MARIE AMENA (ACSW LMSW CAAC)
Entity Type:Individual
Prefix:MS
First Name:MARIE
Middle Name:AMENA
Last Name:MAROLF
Suffix:
Gender:F
Credentials:ACSW LMSW CAAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2008 HOGBACK RD
Mailing Address - Street 2:SUITE #8
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48105
Mailing Address - Country:US
Mailing Address - Phone:734-786-4900
Mailing Address - Fax:734-786-8051
Practice Address - Street 1:2008 HOGBACK RD
Practice Address - Street 2:SUITE #8
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48105
Practice Address - Country:US
Practice Address - Phone:734-786-4900
Practice Address - Fax:734-786-8051
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-21
Last Update Date:2008-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI810349101YA0400X
MI68010336551041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)