MEDICARE: MS. EVE PEARSON MARCUS 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	CSW004126	GA

General Provider Information

NPI Number	:	1497985006
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. EVE PEARSON MARCUS LCSW

Provider Business Mailing Address
First Line	:	103 CASCADE RD
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31904-2808
Country	:	US
Telephone Number	:	706-288-5428
Fax Number	:

Provider Business Practice Location Address
First Line	:	103 CASCADE RD
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31904-2808
Country	:	US
Telephone Number	:	706-288-5428
Fax Number	:

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

Provider Enumeration Date	:	07/16/2009
Last Update Date	:	04/01/2024

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