Provider Demographics
NPI:1780663088
Name:MARASCO, KARIN MARIAGRAZIA (LCSW)
Entity type:Individual
Prefix:MS
First Name:KARIN
Middle Name:MARIAGRAZIA
Last Name:MARASCO
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 32
Mailing Address - Street 2:
Mailing Address - City:CHINOOK
Mailing Address - State:WA
Mailing Address - Zip Code:98614-0032
Mailing Address - Country:US
Mailing Address - Phone:402-290-8946
Mailing Address - Fax:
Practice Address - Street 1:10824 OLD MILL RD
Practice Address - Street 2:STE 21
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68154-2642
Practice Address - Country:US
Practice Address - Phone:402-330-6060
Practice Address - Fax:402-330-6108
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-13
Last Update Date:2024-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1041C0700X
WALW602151141041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE82123OtherBLUE CROSS BLUE SHIELD
NE82123OtherBLUE CROSS BLUE SHIELD