LARISSA JANE MARSH (NPI# 1154954352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154954352 |
| Entity Type | Individual |
| Full Name | LARISSA JANE MARSH |
| Credential | LMSW |
| Practice Address |
3955 56th St S Ste D Fargo ND 58104-4845 |
| Mailing Address |
3955 56th St S Fargo ND 58104-4844 |
| Practice Telephone | 7014177500 |
| Enumeration Date | 2020-02-16 |
| Last Update Date | 2020-02-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
4506 | ND | Behavioral Health & Social Service Providers |
| Street Address |
3955 56TH ST S STE D |
| City | FARGO |
| State | ND |
| Zip Code | 58104-4845 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144592486 | Sara B Hansen | Nurse Practitioner | 3955 56th St S Ste D, Fargo, ND 58104-4845 | 2012-02-02 |
| 1538699566 | Jenny Steele | Family Medicine | 3955 56th St S Ste D, Fargo, ND 58104-4845 | 2017-06-13 |
| 1114288933 | Jennifer Brottlund | Family Medicine | 3955 56th St S Ste D, Fargo, ND 58104-4845 | 2012-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043837347 | Pinnacle Therapy & Wellness, Pllc | Physical Therapist | 4500 36th Ave S Suite 100, Fargo, ND 58104 | 2020-07-02 |
| 1619509858 | Patricia Helen Bathie | Counselor | 4243 Auburn Ave., Fargo, ND 58104 | 2020-02-05 |
| 1346892866 | Elizabeth Olis | Registered Nurse | 2633 55th St. S, Apartment 202, Fargo, ND 58104 | 2019-07-15 |
| 1780247023 | Keith Kirimi Ndege | Physical Therapy Assistant | 5225 23rd Ave South, Fargo, ND 58104 | 2019-04-22 |
| 1346728557 | Ms4 Pllc | Pharmacy | 4476 31st Avenue South, Suite #105, Fargo, ND 58104 | 2018-07-31 |
| 1891286977 | Jessica Rae Majidian | Dentist | 3030 49th St S, Fargo, ND 58104 | 2018-05-23 |
| 1821588500 | Alissa Nichole Larson | Pharmacist | 5675 26th Ave S St. 136a, Fargo, ND 58104 | 2018-05-17 |
| 1790297430 | Northern Lights Dental | Dentist | 4150 19th Ave S, Suite 301, Fargo, ND 58104 | 2017-11-03 |
| 1619406733 | Cobalt Rehabilitation Hospital Fargo LLC | Rehabilitation Hospital | 4671 38th Street S, Fargo, ND 58104 | 2017-06-12 |
| 1790210318 | Homefield Health, LLC | Clinic/Center | 4141 31st Ave S., Ste 102, Fargo, ND 58104 | 2017-04-21 |
| Find all providers in zip 58104 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861955296 | Empower Counseling LLC | Social Worker | 4675 40th Ave S Ste 130, Fargo, ND 58104-4444 | 2019-04-11 |
| 1295262897 | Centerstone Counseling | Social Worker | 417 38th St Sw Ste D, Fargo, ND 58103-6508 | 2017-05-15 |
| 1992252621 | Brittany Schank | Social Worker | 1321 23rd St S Ste D, Fargo, ND 58103-3724 | 2016-09-11 |
| 1558726083 | Cathy Lynn Bauer-kottenbrock | Social Worker | 2101 Elm Street N, Fargo, ND 58102-2498 | 2015-12-29 |
| 1104215623 | Justin Lervik | Social Worker | 211 Elm St. N, 122, Fargo, ND 58102 | 2015-01-21 |
| 1942625983 | Jennifer Lenore Anderson | Social Worker | 1351 Page Dr S Ste 202, Fargo, ND 58103-3536 | 2014-02-27 |
| 1992147243 | Shawna Marie Croaker | Social Worker | 4553 9th Ave S Ste 3, Fargo, ND 58103-7253 | 2013-07-26 |
| 1992056147 | Nicholas Gard | Social Worker | 1112 Nodak Dr S Ste 105, Fargo, ND 58103-2366 | 2012-09-27 |
| 1265707848 | Erika Louise Lake | Social Worker | 1330 Page Dr S Ste 101, Fargo, ND 58103-3551 | 2012-03-15 |
| 1346519378 | Trishia K Powell | Social Worker | 3125 41st St S, Fargo, ND 58104-8666 | 2011-12-20 |
| Find all providers in FARGO | ||||
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| 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.