MEDICARE: DREW ALAN MARR LMSW

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	104100000X	Social Worker	27636-M	AR

General Provider Information

NPI Number	:	1629929047
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DREW ALAN MARR LMSW

Provider Business Mailing Address
First Line	:	3709 MORRIS DR
Second Line	:
City	:	FORT SMITH
State	:	AR
Zip	:	72904-6211
Country	:	US
Telephone Number	:	479-420-5401
Fax Number	:

Provider Business Practice Location Address
First Line	:	5111 ROGERS AVE
Second Line	:
City	:	FORT SMITH
State	:	AR
Zip	:	72903-2047
Country	:	US
Telephone Number	:	479-222-0268
Fax Number	:

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

Provider Enumeration Date	:	02/04/2026
Last Update Date	:	02/04/2026

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