Provider Demographics
NPI:1396336525
Name:MARINGE, NYARAI MICHELLE (LICSW/ LCSW-C)
Entity type:Individual
Prefix:
First Name:NYARAI
Middle Name:MICHELLE
Last Name:MARINGE
Suffix:
Gender:F
Credentials:LICSW/ LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8843 GREENBELT RD STE 348
Mailing Address - Street 2:
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20770-2451
Mailing Address - Country:US
Mailing Address - Phone:202-689-4398
Mailing Address - Fax:
Practice Address - Street 1:8843 GREENBELT RD # 348
Practice Address - Street 2:
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770-2451
Practice Address - Country:US
Practice Address - Phone:202-779-3852
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-30
Last Update Date:2022-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC500791751041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical