Provider Demographics
NPI:1831306455
Name:MARCZEWSKI, ANGELA MAIURI (LMHC)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:MAIURI
Last Name:MARCZEWSKI
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:851 WOODLAND AVE
Mailing Address - Street 2:
Mailing Address - City:SCHENECTADY
Mailing Address - State:NY
Mailing Address - Zip Code:12309-6114
Mailing Address - Country:US
Mailing Address - Phone:518-374-6719
Mailing Address - Fax:518-346-3406
Practice Address - Street 1:1243 STATE ST
Practice Address - Street 2:
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12304-2620
Practice Address - Country:US
Practice Address - Phone:518-347-0871
Practice Address - Fax:518-346-3406
Is Sole Proprietor?:No
Enumeration Date:2007-05-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000776-1101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health