Provider Demographics
NPI:1720422595
Name:LOVE, MARCY ANN (LCSW)
Entity Type:Individual
Prefix:MS
First Name:MARCY
Middle Name:ANN
Last Name:LOVE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:MARCY
Other - Middle Name:ANN
Other - Last Name:FRANKE, PYLES, SPENCER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:1371 KILLIE CT APT 103
Mailing Address - Street 2:
Mailing Address - City:DUNEDIN
Mailing Address - State:FL
Mailing Address - Zip Code:34698-1328
Mailing Address - Country:US
Mailing Address - Phone:502-901-8215
Mailing Address - Fax:
Practice Address - Street 1:1371 KILLIE CT APT 103
Practice Address - Street 2:
Practice Address - City:DUNEDIN
Practice Address - State:FL
Practice Address - Zip Code:34698-1328
Practice Address - Country:US
Practice Address - Phone:502-901-8215
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-24
Last Update Date:2023-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY2540411041C0700X
390200000X
FLSW201201041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program