Provider Demographics
NPI:1710644067
Name:MARPLE, GARRETT
Entity Type:Individual
Prefix:
First Name:GARRETT
Middle Name:
Last Name:MARPLE
Suffix:
Gender:M
Credentials:
Other - Prefix:MR
Other - First Name:GARRETT
Other - Middle Name:RHODES
Other - Last Name:MARPLE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMSW
Mailing Address - Street 1:1945 2ND AVE N
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33713-8911
Mailing Address - Country:US
Mailing Address - Phone:301-250-6127
Mailing Address - Fax:
Practice Address - Street 1:10454 WHITTINGTON CT
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33773-1841
Practice Address - Country:US
Practice Address - Phone:727-605-0463
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-22
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD307311041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical