Marjorie Farmer, MSW, LICSW
Individual provider Active NPI Clinical Social Worker · Mystic, CT
NPI 1992288161 · NPPES record last updated Sep 12, 2018
Key facts
- NPI
- 1992288161
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 009382 (CT)
- Practice address
- 295 Pequot Ave
Mystic, CT 06355-1739 - Phone
- (617) 947-7602
- NPI assigned
- Sep 12, 2018
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009382 | CT | MD | Clinical Social Worker |
| 118448 | MA | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 118448 | MA | |
| Clinical Social Worker | 1041C0700X | 009382 | CT | Yes |
Addresses
Primary practice location
295 Pequot Ave
Mystic, CT 06355-1739
Mailing address
295 Pequot Ave
Mystic, CT 06355-1739
Phone (617) 947-7602
Other providers in Mystic, CT
- Falck Eye Center LLC
- Falck Eye Centers, L.L.C.
- Francis Falck
- Mark Fallon
- Familywise, LLC
- Jennifer Felicelli
- Michael J Feltes
- Warren Lewis Fields
- Kelsey Lee Finn
- Dennis F Flanagan
All providers in Mystic, CT · Clinical Social Worker in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 12, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.