Individual
MARCY MEVORACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8687 E VIA DE VENTURA STE 308, SCOTTSDALE, AZ 85258-3349
(480) 707-2885
Mailing address
8687 E VIA DE VENTURA STE 308, SCOTTSDALE, AZ 85258-3349
(480) 707-2885
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
13047
AZ
101YA0400X
Addiction (Substance Use Disorder) Counselor
7796
NY
1041C0700X
Clinical Social Worker
069203-1
NY
1041C0700X
Clinical Social Worker
Primary
12488
AZ
1041S0200X
School Social Worker
2217623
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z129428
MEDICARE PROVIDER
AZ
Enumeration date
08/14/2007
Last updated
05/28/2022
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