Provider Demographics
NPI:1609296854
Name:ARNOLD, MARCY (LCSW, LCAS)
Entity type:Individual
Prefix:
First Name:MARCY
Middle Name:
Last Name:ARNOLD
Suffix:
Gender:F
Credentials:LCSW, LCAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3537 M L KING JR BLVD # 215
Mailing Address - Street 2:
Mailing Address - City:NEW BERN
Mailing Address - State:NC
Mailing Address - Zip Code:28562-2209
Mailing Address - Country:US
Mailing Address - Phone:252-505-8150
Mailing Address - Fax:252-214-6278
Practice Address - Street 1:3537 M L KING JR BLVD # 215
Practice Address - Street 2:
Practice Address - City:NEW BERN
Practice Address - State:NC
Practice Address - Zip Code:28562-2209
Practice Address - Country:US
Practice Address - Phone:252-505-8150
Practice Address - Fax:252-214-6278
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-25
Last Update Date:2020-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC21692101YA0400X
NCC0094261041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)