Provider Demographics
NPI:1861421182
Name:PILZ, MARSHA B (LCSW)
Entity type:Individual
Prefix:MS
First Name:MARSHA
Middle Name:B
Last Name:PILZ
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:95 FREEMAN RIDGE RD
Mailing Address - Street 2:P.O. BOX 723
Mailing Address - City:SOUTHWEST HARBOR
Mailing Address - State:ME
Mailing Address - Zip Code:04679-4235
Mailing Address - Country:US
Mailing Address - Phone:207-244-3189
Mailing Address - Fax:
Practice Address - Street 1:19 CLARK POINT RD
Practice Address - Street 2:
Practice Address - City:SOUTHWEST HARBOR
Practice Address - State:ME
Practice Address - Zip Code:04679-4415
Practice Address - Country:US
Practice Address - Phone:207-244-3189
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MELC71821041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical