Provider Demographics
NPI:1730403858
Name:BLECKER, MARNA S (LCSW-R)
Entity type:Individual
Prefix:MS
First Name:MARNA
Middle Name:S
Last Name:BLECKER
Suffix:
Gender:F
Credentials:LCSW-R
Other - Prefix:
Other - First Name:MARNA
Other - Middle Name:
Other - Last Name:SCHAROF
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW R
Mailing Address - Street 1:244 5TH AVE STE 8D
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001-7604
Mailing Address - Country:US
Mailing Address - Phone:212-645-6370
Mailing Address - Fax:
Practice Address - Street 1:156 5TH AVE
Practice Address - Street 2:STE #1208
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-7002
Practice Address - Country:US
Practice Address - Phone:212-645-6370
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-18
Last Update Date:2019-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR032324-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical