MEDICARE: MS. MARNEY BETH EARNEST MSW

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	6801093868	MI
2	1041C0700X	Clinical Social Worker	09927416	CO

General Provider Information

NPI Number	:	1871089854
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MARNEY BETH EARNEST MSW

Provider Business Mailing Address
First Line	:	19875 BUTTERNUT LN
Second Line	:
City	:	SOUTHFIELD
State	:	MI
Zip	:	48076-1795
Country	:	US
Telephone Number	:	248-568-3711
Fax Number	:	248-569-9410

Provider Business Practice Location Address
First Line	:	872 MASSACHUSETTS AVE STE 2-2
Second Line	:
City	:	CAMBRIDGE
State	:	MA
Zip	:	02139-3072
Country	:	US
Telephone Number	:	339-666-8516
Fax Number	:

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

Provider Enumeration Date	:	07/02/2018
Last Update Date	:	02/26/2025

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