MARISSA CARLSON (NPI# 1124631171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124631171 |
| Entity Type | Individual |
| Full Name | MARISSA CARLSON |
| Credential | LMSW |
| Practice Address |
2201 N Ironwood Pl Ste 100 Coeur D Alene ID 83814-2670 |
| Mailing Address |
Po Box 1387 Hayden ID 83835-1387 |
| Practice Telephone | 2087694222 |
| Practice Fax Number | 8448037399 |
| Mailing Telephone | 2084150299 |
| Mailing Fax Number | 2086252070 |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2020-08-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 39959 | ID | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | LICENSE | 39959 | 01 |
| Street Address |
2201 N IRONWOOD PL STE 100 |
| City | COEUR D ALENE |
| State | ID |
| Zip Code | 83814-2670 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124662861 | Tracy A Bauhs | Community Health Worker | 2201 N Ironwood Pl Ste 100, Coeur D Alene, ID 83814-2670 | 2019-11-06 |
| 1972116846 | Brooke B Jones | Social Worker | 2201 N Ironwood Pl Ste 100, Coeur D Alene, ID 83814-2670 | 2020-08-28 |
| 1598399289 | Kelly Sue Hopkins | Community Health Worker | 2201 N Ironwood Pl Ste 100, Coeur D Alene, ID 83814-2670 | 2020-03-03 |
| 1053942490 | Tina Husky | Social Worker | 2201 N Ironwood Pl Ste 100, Coeur D Alene, ID 83814-2670 | 2020-02-03 |
| 1225675663 | Shira Urias | Social Worker | 2201 N Ironwood Pl Ste 100, Coeur D Alene, ID 83814-2670 | 2019-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477162675 | Dehra Mcfaddan | Social Worker | 211 E. Coeur D'alene Ave, 102, Coeur D Alene, ID 83814 | 2020-07-24 |
| 1043838634 | Yendi Labelle | Nurse Practitioner | 1115 N Ironwood Drive, Coeur D'alene, ID 83814 | 2020-07-09 |
| 1295353217 | Cultivation, LLC | Counselor | 211 E. Coeur Dalene Ave. Ste 102, Coeur D'alene, ID 83814 | 2020-07-07 |
| 1306487517 | Northwest Integrated Health, LLP | Clinic/Center | 1250 West N. Northwood Center Ct, Suite B, Coeur D'alene, ID 83814 | 2019-09-30 |
| 1730740465 | Connor Williams | Physical Therapist | 1812 W Lakewood Dr, Ste. 100, Coeur D Alene, ID 83814 | 2019-06-24 |
| 1912480153 | Nadine M Lewis | Social Worker | 211 E. Coeur D'alene Ave., Coeur D'alene, ID 83814 | 2018-09-13 |
| 1992208631 | Orthopedic Surgery and Sports | Orthopaedic Surgery | 1812 N Lakewood Drive, Suite 100, Coeur D'alene, ID 83814 | 2018-03-08 |
| 1346758042 | Heather Marie Johnson | Counselor | 7905 Meadowlark Way, Cda, ID 83814 | 2018-01-16 |
| 1881113413 | Brevity Treatment Services | Counselor | 2201 N. Government Way Ste. L, Coeur D'alene, ID 83814 | 2017-09-14 |
| 1366969628 | Jennifer La Gina Highfield | Massage Therapist | 1104 N Ste B, Coeur D Alene, ID 83814 | 2017-08-28 |
| Find all providers in zip 83814 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881204741 | Pacific Wellness LLC | Social Worker | 212 W Ironwood Dr Ste D-2040, Coeur D Alene, ID 83814-1403 | 2020-08-05 |
| 1477162675 | Dehra Mcfaddan | Social Worker | 211 E. Coeur D'alene Ave, 102, Coeur D Alene, ID 83814 | 2020-07-24 |
| 1609493386 | Antoinette Susan Wilton-hammer | Social Worker | 3731 N Ramsey Rd Ste 106, Coeur D Alene, ID 83815-9000 | 2020-06-29 |
| 1922635614 | Chelsea Petrina Blackstone | Social Worker | 2624 N 12th St, Coeur D Alene, ID 83815-4938 | 2020-03-24 |
| 1609354109 | Children's Village Incorporated | Social Worker | 1350 W Hanley Ave, Coeur D Alene, ID 83815-8638 | 2018-08-06 |
| 1487131017 | Christina Carder | Social Worker | 2205 Ironwood Pl Ste A, Coeur D Alene, ID 83814-2487 | 2018-07-26 |
| 1609352855 | Esther Nelson | Social Worker | 1038 Northwest Blvd Ste 100, Coeur D Alene, ID 83814-2249 | 2018-07-11 |
| 1669901260 | Jessica Peterson | Social Worker | 1200 W Ironwood Dr Ste 100, Coeur D Alene, ID 83814-2660 | 2017-06-07 |
| 1780130666 | Keryn Richards | Social Worker | 1055 E Timber Ln, Coeur D Alene, ID 83815-6508 | 2016-08-30 |
| 1558716605 | Michael Joseph Mccall I | Social Worker | 211 E Coeur Dalene Ave Ste 102, Coeur D Alene, ID 83814-4926 | 2016-04-26 |
| Find all providers in COEUR D ALENE | ||||
| City | COEUR D ALENE |
| Zip Code | 83814 |
Please comment or provide details below to improve the information on MARISSA CARLSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.