Provider Demographics
NPI:1154939577
Name:ARIAS, MARILYN (LMSW)
Entity type:Individual
Prefix:
First Name:MARILYN
Middle Name:
Last Name:ARIAS
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:MARILYN
Other - Middle Name:
Other - Last Name:ARIAS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMSW
Mailing Address - Street 1:108 AVENUE D APT 4D
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10009-5518
Mailing Address - Country:US
Mailing Address - Phone:917-334-4201
Mailing Address - Fax:
Practice Address - Street 1:108 AVENUE D APT 4D
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10009-5518
Practice Address - Country:US
Practice Address - Phone:917-334-4201
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-22
Last Update Date:2020-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY086503104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty