Provider Demographics
NPI:1912658642
Name:PANHWAR, MARVI (LCSW)
Entity type:Individual
Prefix:
First Name:MARVI
Middle Name:
Last Name:PANHWAR
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:MARVI
Other - Middle Name:SANI
Other - Last Name:PANHWAR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:942 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BOERNE
Mailing Address - State:TX
Mailing Address - Zip Code:78006-1628
Mailing Address - Country:US
Mailing Address - Phone:210-701-0310
Mailing Address - Fax:
Practice Address - Street 1:300 BAKER AVE STE 300
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:MA
Practice Address - Zip Code:01742-2124
Practice Address - Country:US
Practice Address - Phone:864-336-2731
Practice Address - Fax:833-336-2731
Is Sole Proprietor?:No
Enumeration Date:2022-01-13
Last Update Date:2025-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MALICSW11420401041C0700X
TX672261041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical