Michael Marino, LCSW
Social Worker, Clinical in Santa Monica, CA. Individual provider (NPI-1).
NPI number1760610281
StatusActive
Last updated in NPPESNov 26, 2018
Details
- NPI
- 1760610281
- Entity type
- Individual (NPI-1)
- Name
- Michael Marino
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 23, 2009
- Last updated
- Nov 26, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 94676 | CA | Yes |
Practice location
1328 2nd StSanta Monica, CA 90401
Phone 310-394-6889
Mailing address
5901 E 7th StLong Beach, CA 90822-5201
Phone 562-826-8000
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