National Provider Identifier
Marnie S. Waxman, LCSW
Marnie S. Waxman, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Ithaca, NY and a listed phone number of (607) 319-4931.
Profile Overview
- NPI
- 1669600847
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- June 26, 2009
- Last Updated
- July 13, 2009
Practice Location
- 120 E Buffalo St
- Suite 8
- Ithaca, NY 14850-4266
Phone: (607) 319-4931
Mailing Address
- 215 N Cayuga St
- Suite 306
- Ithaca, NY 14850-4329
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1669600847
- Entity Type
- Individual
- Last Name
- Waxman
- First Name
- Marnie
- Middle Name
- S.
- Name Prefix
- MS.
- Credential
- LCSW
- Mailing Street Address
- 215 N Cayuga St
- Mailing Address Line 2
- Suite 306
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-4329
- Mailing Country
- US
- Mailing Phone
- (607) 319-4931
- Practice Street Address
- 120 E Buffalo St
- Practice Address Line 2
- Suite 8
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-4266
- Practice Country
- US
- Practice Phone
- (607) 319-4931
- Enumeration Date
- June 26, 2009
- Last Updated
- July 13, 2009
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)