National Provider Identifier

Mary Lou Marasco, LMSW

Mary Lou Marasco, LMSW is listed in the NPPES registry with a primary specialty of Social Worker in Canandaigua, NY and a listed phone number of (585) 393-7508.

NPI 1164673679Canandaigua, NYSocial Worker

Profile Overview

NPI
1164673679
Provider Type
Individual
Primary Specialty
Social Worker
Enumeration Date
October 02, 2008
Last Updated
April 03, 2013

Practice Location

  • 400 Fort Hill Ave
  • Canandaigua, NY 14424-1159

Phone: (585) 393-7508

Mailing Address

  • 400 Ft. Hill Avenue
  • Canandaigua, NY 14424-0144

Specialties

  • Social Worker (104100000X)
Full Record
NPI
1164673679
Entity Type
Individual
Last Name
Marasco
First Name
Mary
Middle Name
Lou
Name Prefix
Mrs.
Credential
LMSW
Mailing Street Address
400 Ft. Hill Avenue
Mailing City
Canandaigua
Mailing State
NY
Mailing ZIP Code
14424-0144
Mailing Country
US
Mailing Phone
(585) 393-7508
Mailing Fax
(585) 393-7429
Practice Street Address
400 Fort Hill Ave
Practice City
Canandaigua
Practice State
NY
Practice ZIP Code
14424-1159
Practice Country
US
Practice Phone
(585) 393-7508
Practice Fax
(585) 393-7429
Enumeration Date
October 02, 2008
Last Updated
April 03, 2013
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Social Worker (104100000X)