Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jennifer Fay Marinellie, LCAS-A

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1033990122

Jennifer Fay Marinellie, LCAS-A is an Addiction (Substance Use Disorder) Counselor in Pinehurst, North Carolina. Licensed in North Carolina. Registered with an NPI since 2023.

Licensed in
NC
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

205 Memorial Dr
Pinehurst, NC 28374-8712
Phone: (910) 295-2040
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence P019984 (NC)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence LCAS-29419 (NC)

Record details

NPI number1033990122
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCAS-A
Sole proprietorNo
NPI enumeratedOctober 13, 2023
Last updated in NPPESNovember 14, 2023
Certification dateNovember 14, 2023

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