Provider Demographics
NPI:1821463878
Name:HOWARD, MARIAN (LCSWR)
Entity Type:Individual
Prefix:
First Name:MARIAN
Middle Name:
Last Name:HOWARD
Suffix:
Gender:F
Credentials:LCSWR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4C HOLLAND DR
Mailing Address - Street 2:
Mailing Address - City:WEST HURLEY
Mailing Address - State:NY
Mailing Address - Zip Code:12491-5615
Mailing Address - Country:US
Mailing Address - Phone:845-338-3885
Mailing Address - Fax:
Practice Address - Street 1:666 AARON CT
Practice Address - Street 2:
Practice Address - City:KINGSTON
Practice Address - State:NY
Practice Address - Zip Code:12401-2968
Practice Address - Country:US
Practice Address - Phone:845-338-3885
Practice Address - Fax:845-728-0667
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-02
Last Update Date:2018-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0301351041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical