Provider Demographics
NPI:1932125002
Name:MARSHALL, DENI DEUTSCH (LCSW)
Entity Type:Individual
Prefix:MS
First Name:DENI
Middle Name:DEUTSCH
Last Name:MARSHALL
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 1:9304 EDENSBURY CT
Mailing Address - Street 2:
Mailing Address - City:ELK GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:95758-4137
Mailing Address - Country:US
Mailing Address - Phone:916-391-7649
Mailing Address - Fax:916-650-1143
Practice Address - Street 1:3125 DWIGHT RD.
Practice Address - Street 2:SUITE 200
Practice Address - City:ELK GROVE
Practice Address - State:CA
Practice Address - Zip Code:95758-6457
Practice Address - Country:US
Practice Address - Phone:916-639-1764
Practice Address - Fax:916-650-1143
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-14
Last Update Date:2011-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS181721041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical