Provider Demographics
NPI:1881669323
Name:BORING, MARCIA (LCSW)
Entity Type:Individual
Prefix:
First Name:MARCIA
Middle Name:
Last Name:BORING
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7221 W 93RD ST
Mailing Address - Street 2:
Mailing Address - City:ZIONSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46077-9456
Mailing Address - Country:US
Mailing Address - Phone:317-873-2604
Mailing Address - Fax:
Practice Address - Street 1:9135 N. MERIDIAN ST.
Practice Address - Street 2:SUITE A-6
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46260-1815
Practice Address - Country:US
Practice Address - Phone:317-727-2526
Practice Address - Fax:317-581-1471
Is Sole Proprietor?:No
Enumeration Date:2006-02-20
Last Update Date:2023-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN34000582A1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical