Provider Demographics
NPI:1649730847
Name:MARION, EMILY (LICSW, LMSW)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:MARION
Suffix:
Gender:F
Credentials:LICSW, LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:710 12TH ST S APT 912
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22202-4291
Mailing Address - Country:US
Mailing Address - Phone:504-495-1195
Mailing Address - Fax:
Practice Address - Street 1:1801 MONROE ST NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20018-2735
Practice Address - Country:US
Practice Address - Phone:202-926-7710
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-22
Last Update Date:2021-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD26878104100000X
DCLC2000012651041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker