Provider Demographics
NPI:1902456981
Name:MORENCY, MARLA JOAN (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:MARLA
Middle Name:JOAN
Last Name:MORENCY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MISS
Other - First Name:MARLA
Other - Middle Name:
Other - Last Name:HONORE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3207 54TH ST W
Mailing Address - Street 2:
Mailing Address - City:LEHIGH ACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33971-0906
Mailing Address - Country:US
Mailing Address - Phone:754-201-5558
Mailing Address - Fax:
Practice Address - Street 1:3207 54TH ST W
Practice Address - Street 2:
Practice Address - City:LEHIGH ACRES
Practice Address - State:FL
Practice Address - Zip Code:33971-0906
Practice Address - Country:US
Practice Address - Phone:754-201-5558
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-12
Last Update Date:2019-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW165871041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical