Provider Demographics
NPI:1952599771
Name:LANIER, MARIE (LICSW)
Entity Type:Individual
Prefix:MS
First Name:MARIE
Middle Name:
Last Name:LANIER
Suffix:
Gender:F
Credentials:LICSW
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 84
Mailing Address - Street 2:
Mailing Address - City:GREAT BARRINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:01230-0084
Mailing Address - Country:US
Mailing Address - Phone:413-717-2270
Mailing Address - Fax:
Practice Address - Street 1:1 ABBEY HILL DR
Practice Address - Street 2:
Practice Address - City:GREAT BARRINGTON
Practice Address - State:MA
Practice Address - Zip Code:01230-1161
Practice Address - Country:US
Practice Address - Phone:413-717-2270
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-05
Last Update Date:2020-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT87331041C0700X
MA1223201041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical