Provider Demographics
NPI:1700997533
Name:FEUERMAN, MARNI LEIGH (LCSW,LMFT)
Entity Type:Individual
Prefix:MRS
First Name:MARNI
Middle Name:LEIGH
Last Name:FEUERMAN
Suffix:
Gender:F
Credentials:LCSW,LMFT
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 880047
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33488-0047
Mailing Address - Country:US
Mailing Address - Phone:561-544-8011
Mailing Address - Fax:561-526-1062
Practice Address - Street 1:7301 W PALMETTO PARK RD STE 208B
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33433-3456
Practice Address - Country:US
Practice Address - Phone:561-544-8011
Practice Address - Fax:561-526-1062
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2024-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT2092106H00000X
FLSW54981041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLZ9226BMedicare ID - Type Unspecified