Provider Demographics
NPI:1730453572
Name:PIERSON, MARSHA PRICE (LICSW LCSW-C)
Entity type:Individual
Prefix:
First Name:MARSHA
Middle Name:PRICE
Last Name:PIERSON
Suffix:
Gender:F
Credentials:LICSW LCSW-C
Other - Prefix:
Other - First Name:MARSHA
Other - Middle Name:PIERSON
Other - Last Name:LUBMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:2707 ADAMS MILL RD NW APT 108
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20009-2113
Mailing Address - Country:US
Mailing Address - Phone:202-302-0617
Mailing Address - Fax:
Practice Address - Street 1:2100 PENNSYLVANIA AVE NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20037-3202
Practice Address - Country:US
Practice Address - Phone:202-721-2126
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-24
Last Update Date:2012-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC500779091041C0700X
MD100051041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical