MEDICARE: MARPHA MARS LICSW

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	101Y00000X	Counselor
2	1041C0700X	Clinical Social Worker	LICSW1120560	MA

General Provider Information

NPI Number	:	1689265902
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARPHA MARS LICSW

Provider Business Mailing Address
First Line	:	220 FORBES RD # R
Second Line	:
City	:	BRAINTREE
State	:	MA
Zip	:	02184-2705
Country	:	US
Telephone Number	:	781-794-4351
Fax Number	:

Provider Business Practice Location Address
First Line	:	220 FORBES RD # R
Second Line	:
City	:	BRAINTREE
State	:	MA
Zip	:	02184-2705
Country	:	US
Telephone Number	:	781-794-4351
Fax Number	:

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

Provider Enumeration Date	:	01/29/2021
Last Update Date	:	01/08/2026

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Directions to “ MARPHA MARS LICSW” Practice Location

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