Provider Demographics
NPI:1912134800
Name:BELDUE, MARJORIE JOYCE (LCSW-R)
Entity Type:Individual
Prefix:MRS
First Name:MARJORIE
Middle Name:JOYCE
Last Name:BELDUE
Suffix:
Gender:F
Credentials:LCSW-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 HOLLY CIR
Mailing Address - Street 2:
Mailing Address - City:SPENCERPORT
Mailing Address - State:NY
Mailing Address - Zip Code:14559-9602
Mailing Address - Country:US
Mailing Address - Phone:585-352-9354
Mailing Address - Fax:585-352-9354
Practice Address - Street 1:15 BLUE AVOCADO LN
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14623-3908
Practice Address - Country:US
Practice Address - Phone:585-359-8237
Practice Address - Fax:585-321-3658
Is Sole Proprietor?:No
Enumeration Date:2009-06-17
Last Update Date:2009-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0493861041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical