Hennessey, Marcia C

Hennessey, Marcia C is an individual health care provider with primary practice located at 100 Market Place Blvd Suite 201, Cartersville GA 30121-8718. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Hennessey, Marcia C can be contacted via phone (706) 625-5900.

Contact Information

Primary practice address
100 Market Place Blvd Suite 201 Cartersville GA 30121-8718
Phone: (706) 625-5900
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X CSW004615 Georgia
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X C0148 Georgia

Profile Details

NPI number 1720348188
LBN Legal business name Hennessey, Marcia C
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2012
Last updated Dec 9th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720348188 NPPES
Georgia Other 202I805788 MEDICARE
Georgia MEDICAID 003134331C MEDICARE

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