Provider Demographics
NPI:1871089854
Name:EARNEST, MARNEY BETH (MSW)
Entity type:Individual
Prefix:MS
First Name:MARNEY
Middle Name:BETH
Last Name:EARNEST
Suffix:
Gender:
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19875 BUTTERNUT LN
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48076-1795
Mailing Address - Country:US
Mailing Address - Phone:248-568-3711
Mailing Address - Fax:248-569-9410
Practice Address - Street 1:872 MASSACHUSETTS AVE STE 2-2
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02139-3072
Practice Address - Country:US
Practice Address - Phone:339-666-8516
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-02
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010938681041C0700X
CO099274161041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical