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MARISSA CARLSON LCSW
NPI 1124631171
Social Worker in Saint Maries, ID

Active since August 28, 2020PECOS Enrolled
201 N 8TH ST STE 4, SAINT MARIES, ID 83861(208) 597-7639(208) 717-9450 Get Directions Write a Review

NPPES record last updated: October 30, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 28, 2023, Aug 28, 2020 (2 updates tracked since 2020).

About Marissa Carlson Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARISSA CARLSON LCSW (NPI 1124631171) is an individual social worker in Saint Maries, Idaho, licensed in Idaho (LCSW-43558) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Medimont.

NPPES Registry Identity

NPI1124631171
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameMARISSA CARLSONCredential: LCSW
Location Address201 N 8TH ST STE 4Saint Maries, ID 83861-1869
Mailing Address13498 E Lay LnMedimont, ID 83842-9775 · (208) 582-4024 · Fax (208) 717-9450
Phone(208) 597-7639
Fax(208) 717-9450
Sole ProprietorYes
Enumeration DateAugust 28, 2020
Last NPPES UpdateOctober 30, 20242 updates tracked since enumeration
NPPES CertifiedOctober 30, 2024
✔ NPI 1124631171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
Licenses✔ Licensed in ID · LCSW-43558✔ Licensed in ID · 39959
Definition
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.
201 N 8TH ST STE 4, Saint Maries, ID 83861
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Secondary Practice Location 1

Location 113498 E Lay LnMedimont, ID 83842-9775 · Phone (208) 582-4024 · Fax (208) 717-9450

Other Identifiers 1

Other39959ID · License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marissa Carlson Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SAINT MARIES COUNSELING LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
201 N 8TH ST STE 4
SAINT MARIES, ID 83861
Benewah County (208) 597-7639
MRS. ALYSSA ANORA ROBINSON LMFT
Marriage & Family Therapist
201 N 8TH ST STE 4
SAINT MARIES, ID 83861
Benewah County (208) 597-7639

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marissa Carlson's NPI number?

The NPI number for Marissa Carlson is 1124631171. It was assigned to this individual provider in the NPPES registry on August 28, 2020.

Where is Marissa Carlson located?

Marissa Carlson practices at 201 N 8th St Ste 4, Saint Maries, ID 83861. The listed phone number is (208) 597-7639.

What is Marissa Carlson's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Marissa Carlson enrolled in Medicare?

Yes. Marissa Carlson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Marissa Carlson was last updated on October 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.