Provider Demographics
NPI:1700139441
Name:STRAUSS JOHNSON, MARCY JEAN (LCSW)
Entity Type:Individual
Prefix:
First Name:MARCY
Middle Name:JEAN
Last Name:STRAUSS JOHNSON
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:PO BOX 582
Mailing Address - Street 2:
Mailing Address - City:SPINNERSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18968-0582
Mailing Address - Country:US
Mailing Address - Phone:484-474-0120
Mailing Address - Fax:
Practice Address - Street 1:8785 SCHOOL HOUSE LN
Practice Address - Street 2:
Practice Address - City:COOPERSBURG
Practice Address - State:PA
Practice Address - Zip Code:18036-4012
Practice Address - Country:US
Practice Address - Phone:484-474-0120
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-18
Last Update Date:2022-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COACC-7168101YA0400X
COLSW-722104100000X
PA0177021041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No104100000XBehavioral Health & Social Service ProvidersSocial Worker