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Contact Information

MARY K LILLY, LICSW
908 SCARBRO ROAD
SCARBRO, WV25917
 Phone: 304-574-2905
 Fax: 304-465-5486
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for MARY K LILLY · (Female)

NPI Number 1285013888
Status Active
Credentials LICSW (Licensed Independent Clinical Social Worker)
Entity Individual
Enumeration date 05/28/2015
Last updated 11/20/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • TX License # 111436
  • WV License # DP00940388
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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