Provider Demographics
NPI:1750612347
Name:AMARSINGH, MARCIA JOAN (MSC LADC-1, CADAC)
Entity type:Individual
Prefix:
First Name:MARCIA
Middle Name:JOAN
Last Name:AMARSINGH
Suffix:
Gender:F
Credentials:MSC LADC-1, CADAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:51 UNION ST
Mailing Address - Street 2:SUITE G02
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01608-1194
Mailing Address - Country:US
Mailing Address - Phone:508-756-2005
Mailing Address - Fax:508-756-2005
Practice Address - Street 1:51 UNION ST
Practice Address - Street 2:SUITE G02
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01608-1194
Practice Address - Country:US
Practice Address - Phone:508-756-2005
Practice Address - Fax:508-756-2119
Is Sole Proprietor?:No
Enumeration Date:2010-01-20
Last Update Date:2016-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1408 AD101YA0400X
MA10220101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)