Provider Demographics
NPI:1851627913
Name:MAROTTA, MARIE ROSE (MSW, LICSW)
Entity Type:Individual
Prefix:MRS
First Name:MARIE
Middle Name:ROSE
Last Name:MAROTTA
Suffix:
Gender:F
Credentials:MSW, LICSW
Other - Prefix:
Other - First Name:MARIE
Other - Middle Name:ROSE
Other - Last Name:BONNICI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2400 NW 80TH ST # 617
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98117-4449
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6748 EARL AVE NW
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98117-5929
Practice Address - Country:US
Practice Address - Phone:206-331-2649
Practice Address - Fax:206-326-3659
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-26
Last Update Date:2021-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW 603174951041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical