Provider Demographics
NPI:1154913242
Name:LAROSE, MARCELLE (LCSW)
Entity type:Individual
Prefix:MRS
First Name:MARCELLE
Middle Name:
Last Name:LAROSE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 MADRID ST
Mailing Address - Street 2:
Mailing Address - City:ROYAL PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-1146
Mailing Address - Country:US
Mailing Address - Phone:561-420-4072
Mailing Address - Fax:561-328-9067
Practice Address - Street 1:100 MADRID ST
Practice Address - Street 2:
Practice Address - City:ROYAL PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33411-1146
Practice Address - Country:US
Practice Address - Phone:561-420-4072
Practice Address - Fax:561-328-9067
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-09
Last Update Date:2021-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW154551041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical