Marni Marie Millet, LCSW
Social Worker, Clinical in Syracuse, NY. Individual provider (NPI-1).
NPI number1124367669
StatusActive
Last updated in NPPESMar 1, 2023
Details
- NPI
- 1124367669
- Entity type
- Individual (NPI-1)
- Name
- Marni Marie Millet
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 4, 2013
- Certification date
- Mar 1, 2023
- Last updated
- Mar 1, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 72 084684 | NY | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | CASAC-18680 | NY | |
| 104100000X | Social Worker | 72 084761 | NY | |
| 1041C0700X | Social Worker, Clinical | 084684 | NY |
Practice location
4465 E Genesee St Ste 282Syracuse, NY 13214-2229
Phone 315-480-7160
Mailing address
2018 Court StSyracuse, NY 13208-1904
Phone 315-480-7160
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