Provider Demographics
NPI:1922261221
Name:MARCANO, LUIS C (LPC)
Entity Type:Individual
Prefix:
First Name:LUIS
Middle Name:C
Last Name:MARCANO
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3333 UNIVERSITY BLVD W
Mailing Address - Street 2:UNIT 907
Mailing Address - City:KENSINGTON
Mailing Address - State:MD
Mailing Address - Zip Code:20895-1852
Mailing Address - Country:US
Mailing Address - Phone:301-675-1442
Mailing Address - Fax:
Practice Address - Street 1:20 F ST NW OFC 7577TH
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20001-6700
Practice Address - Country:US
Practice Address - Phone:301-675-1442
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-07
Last Update Date:2021-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701004378101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA4945042Medicaid