Provider Demographics
NPI:1174131932
Name:WOOLF, MARIELLE (LCSW)
Entity type:Individual
Prefix:MRS
First Name:MARIELLE
Middle Name:
Last Name:WOOLF
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:MARIELLE
Other - Middle Name:
Other - Last Name:ERDHEIM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:11 LYNDON PL
Mailing Address - Street 2:
Mailing Address - City:MELVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11747-4254
Mailing Address - Country:US
Mailing Address - Phone:516-712-5900
Mailing Address - Fax:
Practice Address - Street 1:14 HARWOOD CT STE 318
Practice Address - Street 2:
Practice Address - City:SCARSDALE
Practice Address - State:NY
Practice Address - Zip Code:10583-4120
Practice Address - Country:US
Practice Address - Phone:914-472-2464
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-17
Last Update Date:2025-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY109681104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty