Provider Demographics
NPI:1912200296
Name:BEINERT, MARCY (MSW, LICSW)
Entity Type:Individual
Prefix:
First Name:MARCY
Middle Name:
Last Name:BEINERT
Suffix:
Gender:F
Credentials:MSW, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:A3 COLONIAL DR UNIT 10
Mailing Address - Street 2:
Mailing Address - City:ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01810-7311
Mailing Address - Country:US
Mailing Address - Phone:802-598-1464
Mailing Address - Fax:
Practice Address - Street 1:A3 COLONIAL DR UNIT 10
Practice Address - Street 2:
Practice Address - City:ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01810-7311
Practice Address - Country:US
Practice Address - Phone:802-598-1464
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-08
Last Update Date:2022-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1041C0700X
MA1171831041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical