Provider Demographics
NPI:1770662215
Name:DECESARE, MARIANNE J (LCSW)
Entity type:Individual
Prefix:MRS
First Name:MARIANNE
Middle Name:J
Last Name:DECESARE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:220 CONGRESS ST
Mailing Address - Street 2:SUITE 5D
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11201-6466
Mailing Address - Country:US
Mailing Address - Phone:718-852-0005
Mailing Address - Fax:718-852-0005
Practice Address - Street 1:220 CONGRESS ST APT 5D
Practice Address - Street 2:SUITE 5D
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201-6562
Practice Address - Country:US
Practice Address - Phone:718-852-0005
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-03
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR036091-R1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical