MEDICARE: MICHAELL STHEPHANIE MARN LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	SW25901	FL

General Provider Information

NPI Number	:	1316895618
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAELL STHEPHANIE MARN LCSW

Provider Business Mailing Address
First Line	:	5734 GOLDEN OWL LOOP
Second Line	:
City	:	LAND O LAKES
State	:	FL
Zip	:	34638-3349
Country	:	US
Telephone Number	:	813-494-0614
Fax Number	:

Provider Business Practice Location Address
First Line	:	5734 GOLDEN OWL LOOP
Second Line	:
City	:	LAND O LAKES
State	:	FL
Zip	:	34638-3349
Country	:	US
Telephone Number	:	813-494-0614
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/20/2026
Last Update Date	:	03/20/2026

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Directions to “ MICHAELL STHEPHANIE MARN LCSW” Practice Location

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