Individual
ADELE MARCUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW, LCSW
Contact information
Practice address
130 TURKEY HILL RD, FLORENCE, MA 01062-9705
(413) 303-1203
Mailing address
130 TURKEY HILL RD, FLORENCE, MA 01062-9705
(413) 303-1203
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
112162
MA
1041C0700X
Clinical Social Worker
R042822-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
129256
VALUE OPTIONS ID #
MA
01
—
129256
VALUE OPTIONS ID #
NY
05
—
1854437
—
MA
01
—
P08441
BLUE CROSS BLUE SHIELD #
MA
Enumeration date
01/05/2007
Last updated
07/08/2007
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