Provider Demographics
NPI:1194509570
Name:TURCHI, MARISSA (MA, MSS, LCSW)
Entity type:Individual
Prefix:
First Name:MARISSA
Middle Name:
Last Name:TURCHI
Suffix:
Gender:F
Credentials:MA, MSS, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:707 CLYMER ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19147-2813
Mailing Address - Country:US
Mailing Address - Phone:609-617-4174
Mailing Address - Fax:
Practice Address - Street 1:707 CLYMER ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19147-2813
Practice Address - Country:US
Practice Address - Phone:609-617-4174
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-24
Last Update Date:2023-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0238881041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical