National Provider Identifier
Marcia H Hertzog, LCSW
Marcia H Hertzog, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Elmira, NY and a listed phone number of (607) 737-4063.
Profile Overview
- NPI
- 1508064551
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- July 10, 2007
- Last Updated
- August 12, 2016
Practice Location
- 361 W Water St
- Elmira, NY 14905-2519
Phone: (607) 737-4063
Mailing Address
- 361 W.Water St
- Elmira, NY 14901-3332
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1508064551
- Entity Type
- Individual
- Last Name
- Hertzog
- First Name
- Marcia
- Middle Name
- H
- Name Prefix
- MS.
- Credential
- LCSW
- Mailing Street Address
- 361 W.Water St
- Mailing City
- Elmira
- Mailing State
- NY
- Mailing ZIP Code
- 14901-3332
- Mailing Country
- US
- Mailing Phone
- (607) 737-4063
- Mailing Fax
- (607) 734-2019
- Practice Street Address
- 361 W Water St
- Practice City
- Elmira
- Practice State
- NY
- Practice ZIP Code
- 14905-2519
- Practice Country
- US
- Practice Phone
- (607) 737-4063
- Practice Fax
- (607) 734-2019
- Enumeration Date
- July 10, 2007
- Last Updated
- August 12, 2016
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)