Provider Demographics
NPI:1215353131
Name:ENGLEMAN, MARNIE ELIZABETH (MSW, LCSW)
Entity type:Individual
Prefix:
First Name:MARNIE
Middle Name:ELIZABETH
Last Name:ENGLEMAN
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:MARNIE
Other - Middle Name:ELIZABETH
Other - Last Name:FLORES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW, LCSW
Mailing Address - Street 1:7112 WESTHAVEN CIR
Mailing Address - Street 2:APARTMENT 302
Mailing Address - City:ZIONSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46077-7746
Mailing Address - Country:US
Mailing Address - Phone:317-258-2028
Mailing Address - Fax:
Practice Address - Street 1:1650 N COLLEGE AVE
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46202-1715
Practice Address - Country:US
Practice Address - Phone:317-880-0819
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-17
Last Update Date:2021-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490154081041C0700X
IL150012613104100000X
IN34007032A1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker