Provider Demographics
NPI:1831242478
Name:LAWSON, MARILYN (LCSW-C)
Entity type:Individual
Prefix:MS
First Name:MARILYN
Middle Name:
Last Name:LAWSON
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:MRS
Other - First Name:MARILYN
Other - Middle Name:LORRAINE
Other - Last Name:LAWSON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:13840 MILL CREEK LN
Mailing Address - Street 2:
Mailing Address - City:GALENA
Mailing Address - State:MD
Mailing Address - Zip Code:21635-1355
Mailing Address - Country:US
Mailing Address - Phone:443-945-3211
Mailing Address - Fax:302-376-6145
Practice Address - Street 1:101 W PARK PL
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:DE
Practice Address - Zip Code:19709-1324
Practice Address - Country:US
Practice Address - Phone:443-945-3211
Practice Address - Fax:302-376-6145
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-18
Last Update Date:2019-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEQ1-00009571041C0700X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical