Provider Demographics
NPI:1427321538
Name:MUSK, MARIANNE (LICSW)
Entity type:Individual
Prefix:MS
First Name:MARIANNE
Middle Name:
Last Name:MUSK
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1421 ORLEANS ROAD
Mailing Address - Street 2:P.M.B #305
Mailing Address - City:EAST HARWICH
Mailing Address - State:MA
Mailing Address - Zip Code:02645
Mailing Address - Country:US
Mailing Address - Phone:339-224-5925
Mailing Address - Fax:339-674-6120
Practice Address - Street 1:1421 ORLEANS ROAD
Practice Address - Street 2:P.M.B #305
Practice Address - City:EAST HARWICH
Practice Address - State:MA
Practice Address - Zip Code:02645
Practice Address - Country:US
Practice Address - Phone:339-224-5925
Practice Address - Fax:339-674-6120
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-21
Last Update Date:2024-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101Y00000XBehavioral Health & Social Service ProvidersCounselor