Provider Demographics
NPI:1669722633
Name:SEMEXANT, MARIE-IRVINE (LCSW)
Entity type:Individual
Prefix:
First Name:MARIE-IRVINE
Middle Name:
Last Name:SEMEXANT
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 1:770 MEACHAM AVE
Mailing Address - Street 2:
Mailing Address - City:ELMONT
Mailing Address - State:NY
Mailing Address - Zip Code:11003-4717
Mailing Address - Country:US
Mailing Address - Phone:516-568-7170
Mailing Address - Fax:
Practice Address - Street 1:770 MEACHAM AVE
Practice Address - Street 2:
Practice Address - City:ELMONT
Practice Address - State:NY
Practice Address - Zip Code:11003-4717
Practice Address - Country:US
Practice Address - Phone:516-568-7170
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-17
Last Update Date:2015-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker