Provider Demographics
NPI:1104323294
Name:MARBURGER, HANNAH (LGSW)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:
Last Name:MARBURGER
Suffix:
Gender:F
Credentials:LGSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3471 OHIO RIVER RD
Mailing Address - Street 2:
Mailing Address - City:POINT PLEASANT
Mailing Address - State:WV
Mailing Address - Zip Code:25550-4401
Mailing Address - Country:US
Mailing Address - Phone:304-812-5965
Mailing Address - Fax:304-812-5961
Practice Address - Street 1:3471 OHIO RIVER RD
Practice Address - Street 2:
Practice Address - City:POINT PLEASANT
Practice Address - State:WV
Practice Address - Zip Code:25550-4401
Practice Address - Country:US
Practice Address - Phone:304-812-5965
Practice Address - Fax:304-812-5961
Is Sole Proprietor?:No
Enumeration Date:2018-04-06
Last Update Date:2018-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVBP00944968101YA0400X, 101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
WVBP00944968OtherSOCIAL WORK