MARISSA LYNN LUCK (NPI# 1295291714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295291714 |
| Entity Type | Individual |
| Full Name | MARISSA LYNN LUCK |
| Credential | LLMSW |
| Practice Address |
1349 S Otsego Ave Ste 11 Gaylord MI 49735-9170 |
| Practice Telephone | 9893509016 |
| Enumeration Date | 2019-02-20 |
| Last Update Date | 2020-05-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 6801101569 | MI | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
6801101569 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215431960 | Marissa Louise Luck | Obstetrics & Gynecology | Northwestern Memorial Hospital, 251 E. Huron St, Chicago, IL 60611 | 2018-03-19 |
| Street Address |
1349 S OTSEGO AVE STE 11 |
| City | GAYLORD |
| State | MI |
| Zip Code | 49735-9170 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992263230 | Stacy Lynn Couch | Social Worker | 1349 S Otsego Ave Ste 11, Gaylord, MI 49735-9170 | 2019-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447453 | Jenni Kirt | Social Worker | 407 I-75 Bus N, Gaylord, MI 49735 | 2020-11-05 |
| 1922584986 | Patricia Dovalina | Behavior Technician | 2285 Michaywe Dr, Otsego Lake, MI 49735 | 2018-07-12 |
| 1265944581 | James Hulbert | Social Worker | 407 W Main Street, Gaylord, MI 49735 | 2017-10-26 |
| 1548792625 | Somer Lawes | Behavior Technician | 2443 Castlewood Dr, Gaylord, MI 49735 | 2017-03-29 |
| 1922554161 | Mark David Mcpherson | Counselor | 2136 West M-32, Gaylord, MI 49735 | 2016-08-28 |
| 1689063034 | Liza Brandt | Behavioral Analyst | 6748 Colonial Ct, Gaylord, MI 49735 | 2015-01-22 |
| 1942597224 | Visions for Your Community Care Hhc | Home Health | 2365 N Perch Lake Dr, Gaylord, MI 49735 | 2011-07-07 |
| 1073778304 | Julie Lynn Vandusen | Community Health Worker | 5512 Clubhouse Trail, Gaylord, MI 49735 | 2008-07-25 |
| 1073708798 | Alpine Chiropractic, PC | Chiropractor | 529 S. Wisconsin Ave, Gaylord, MI 49735 | 2007-09-06 |
| 1669675567 | Oral and Maxillofacial Surgery Associates | Dentist | 785 E M32, Gaylord, MI 49735 | 2007-06-07 |
| Find all providers in zip 49735 | ||||
| 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 |
|---|---|---|---|---|
| 1306447453 | Jenni Kirt | Social Worker | 407 I-75 Bus N, Gaylord, MI 49735 | 2020-11-05 |
| 1265944581 | James Hulbert | Social Worker | 407 W Main Street, Gaylord, MI 49735 | 2017-10-26 |
| 1124442207 | Holly L. Miner | Social Worker | 806 S. Otsego, Gaylord Cboc, Aleda E. Lutz Dept. of Veterans Affairs, Gaylord, MI 49735-1725 | 2014-02-11 |
| 1083041289 | Laura C Parker | Social Worker | 940 N Center Ave, Gaylord, MI 49735-9318 | 2013-10-02 |
| 1194354050 | Keith Allen Kamphuis | Social Worker | 814 S Otsego Ave, Gaylord, MI 49735-2708 | 2020-04-03 |
| 1740828557 | Emerald Harring | Social Worker | 711 S Illinois Ave, Gaylord, MI 49735-1763 | 2019-12-12 |
| 1154979060 | Suzan Petee | Social Worker | 800 Livingston Blvd, Gaylord, MI 49735-8351 | 2019-09-04 |
| 1124670518 | Tricia Farkas | Social Worker | 800 Livingston Blvd, Gaylord, MI 49735-8351 | 2019-07-15 |
| 1033699822 | Suzann Jennifer Binkley | Social Worker | 407 West Main Street, Gaylord, MI 49735 | 2018-08-21 |
| 1205333713 | Julia Mauldin | Social Worker | 800 Livingston Blvd Ste B, Gaylord, MI 49735-8351 | 2018-04-11 |
| Find all providers in GAYLORD | ||||
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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.