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Mara Nellis, LCSW

Social Worker, Clinical in New York, NY. Individual provider (NPI-1).

NPI number1003878331
StatusActive
Last updated in NPPESJul 13, 2026

Details

NPI
1003878331
Entity type
Individual (NPI-1)
Name
Mara Nellis
Credential
LCSW
Sex
Female
Sole proprietor
No
Enumeration date
Apr 3, 2006
Last updated
Jul 13, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical072722-1NYYes

Practice location

161 W 54th St
Apt 202
New York, NY 10019-5454

Phone 212-252-2116

Mailing address

161 W 54th St
Apt 202
New York, NY 10019-5454

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