Provider Demographics
NPI:1548939432
Name:DANNER, MARIE ESTIS (LICSW-S)
Entity type:Individual
Prefix:MRS
First Name:MARIE
Middle Name:ESTIS
Last Name:DANNER
Suffix:
Gender:F
Credentials:LICSW-S
Other - Prefix:MS
Other - First Name:CECELIA
Other - Middle Name:MARIE
Other - Last Name:ESTIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LICSW
Mailing Address - Street 1:2025 SHADY CREST DR FL 2
Mailing Address - Street 2:
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35216-5417
Mailing Address - Country:US
Mailing Address - Phone:205-635-0560
Mailing Address - Fax:
Practice Address - Street 1:2025 SHADY CREST DR FL 2
Practice Address - Street 2:
Practice Address - City:HOOVER
Practice Address - State:AL
Practice Address - Zip Code:35216-5417
Practice Address - Country:US
Practice Address - Phone:205-635-0560
Practice Address - Fax:205-634-3647
Is Sole Proprietor?:No
Enumeration Date:2021-09-13
Last Update Date:2023-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL4899C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical