Provider Demographics
NPI:1598029746
Name:MARMION, JESSICA (LCSW-R)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:
Last Name:MARMION
Suffix:
Gender:F
Credentials:LCSW-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2829 WEHRLE DR STE 13
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-7387
Mailing Address - Country:US
Mailing Address - Phone:585-301-2983
Mailing Address - Fax:716-355-0840
Practice Address - Street 1:2829 WEHRLE DR STE 13
Practice Address - Street 2:
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-7387
Practice Address - Country:US
Practice Address - Phone:585-301-2983
Practice Address - Fax:716-355-0840
Is Sole Proprietor?:No
Enumeration Date:2012-07-02
Last Update Date:2024-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY73 0800761041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical