MEDICARE: MRS. ELIZABETH ANNETTE MARSH 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	LCS 25465	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1922197912
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ELIZABETH ANNETTE MARSH LCSW

Provider Business Mailing Address
First Line	:	349 E AVENUE K6 STE A
Second Line	:
City	:	LANCASTER
State	:	CA
Zip	:	93535-4548
Country	:	US
Telephone Number	:	213-271-0649
Fax Number	:

Provider Business Practice Location Address
First Line	:	349 E AVENUE K6 STE A
Second Line	:
City	:	LANCASTER
State	:	CA
Zip	:	93535-4548
Country	:	US
Telephone Number	:	661-723-4260
Fax Number	:	661-723-6975

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

Provider Enumeration Date	:	10/11/2006
Last Update Date	:	05/18/2021

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