Provider Demographics
NPI:1740803345
Name:MUZIC-LUCENTI, MARIANNE DINA (LCSW, APHSW-C)
Entity Type:Individual
Prefix:MRS
First Name:MARIANNE
Middle Name:DINA
Last Name:MUZIC-LUCENTI
Suffix:
Gender:F
Credentials:LCSW, APHSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24305 VAN ZANDT AVE
Mailing Address - Street 2:
Mailing Address - City:DOUGLASTON
Mailing Address - State:NY
Mailing Address - Zip Code:11362-1154
Mailing Address - Country:US
Mailing Address - Phone:718-406-7881
Mailing Address - Fax:
Practice Address - Street 1:24305 VAN ZANDT AVE
Practice Address - Street 2:
Practice Address - City:DOUGLASTON
Practice Address - State:NY
Practice Address - Zip Code:11362-1154
Practice Address - Country:US
Practice Address - Phone:718-406-7881
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-19
Last Update Date:2020-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY074749-011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical