Provider Demographics
NPI:1598175093
Name:BELL, MARCEY (LISWS)
Entity type:Individual
Prefix:MS
First Name:MARCEY
Middle Name:
Last Name:BELL
Suffix:
Gender:F
Credentials:LISWS
Other - Prefix:
Other - First Name:MARCEY
Other - Middle Name:
Other - Last Name:GODFREY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:658 W MARKET ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:LIMA
Mailing Address - State:OH
Mailing Address - Zip Code:45801-4653
Mailing Address - Country:US
Mailing Address - Phone:419-221-1527
Mailing Address - Fax:
Practice Address - Street 1:525 S MAIN ST
Practice Address - Street 2:
Practice Address - City:ADA
Practice Address - State:OH
Practice Address - Zip Code:45810-6000
Practice Address - Country:US
Practice Address - Phone:419-604-3372
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-05-06
Last Update Date:2024-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS.1303130104100000X
OHI.1600006-SUPV104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker