Provider Demographics
NPI:1801046941
Name:SEYYID, MARNI N (LCSW-C)
Entity type:Individual
Prefix:DR
First Name:MARNI
Middle Name:N
Last Name:SEYYID
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 NEW ST
Mailing Address - Street 2:
Mailing Address - City:HARRINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19952-1351
Mailing Address - Country:US
Mailing Address - Phone:443-742-4865
Mailing Address - Fax:410-466-3013
Practice Address - Street 1:3 NEW ST
Practice Address - Street 2:
Practice Address - City:HARRINGTON
Practice Address - State:DE
Practice Address - Zip Code:19952-1351
Practice Address - Country:US
Practice Address - Phone:443-742-4865
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-25
Last Update Date:2023-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040100401041C0700X
DCLC50081461041C0700X
MD141521041C0700X
DEQ1-00118961041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD019259700Medicaid