Provider Demographics
NPI:1891872156
Name:SCHECHTMAN, MARSHA ILENE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:MARSHA
Middle Name:ILENE
Last Name:SCHECHTMAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:295 W CROSSVILLE RD
Mailing Address - Street 2:SUITE 740
Mailing Address - City:ROSWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30075-6231
Mailing Address - Country:US
Mailing Address - Phone:770-753-4911
Mailing Address - Fax:678-205-0337
Practice Address - Street 1:295 W CROSSVILLE RD
Practice Address - Street 2:SUITE 740
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30075-6231
Practice Address - Country:US
Practice Address - Phone:770-753-4911
Practice Address - Fax:678-205-0337
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW0003921041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical