Provider Demographics
NPI:1992316632
Name:MARA-ROMAN, KENDRA HELENE (MSW, LSW)
Entity type:Individual
Prefix:MRS
First Name:KENDRA
Middle Name:HELENE
Last Name:MARA-ROMAN
Suffix:
Gender:F
Credentials:MSW, LSW
Other - Prefix:
Other - First Name:KENDRA
Other - Middle Name:HELENE
Other - Last Name:MARA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW, LSW
Mailing Address - Street 1:CRANBERRY PSYCHOLOGICAL CENTER
Mailing Address - Street 2:100 NORTHPOINTE CIRCLE, STE 306
Mailing Address - City:SEVEN FIELDS
Mailing Address - State:PA
Mailing Address - Zip Code:16046
Mailing Address - Country:US
Mailing Address - Phone:724-772-4848
Mailing Address - Fax:724-772-4888
Practice Address - Street 1:CRANBERRY PSYCHOLOGICAL CENTER
Practice Address - Street 2:100 NORTHPOINTE CIRCLE, STE 306
Practice Address - City:SEVEN FIELDS
Practice Address - State:PA
Practice Address - Zip Code:16046
Practice Address - Country:US
Practice Address - Phone:724-772-4848
Practice Address - Fax:724-772-4888
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-15
Last Update Date:2023-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0236981041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical