MARISSA LYNN FITZGIBBON
NPI 1255526356
Social Worker - Clinical in San Quentin, CA

Active since September 11, 2007
1 MAIN ST, SAN QUENTIN, CA 94964(415) 454-1460 Get Directions Write a Review

NPPES record last updated: April 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Marissa Lynn Fitzgibbon NPPES

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

MARISSA LYNN FITZGIBBON (NPI 1255526356) is an individual clinical provider in San Quentin, California, licensed in California (29226) and active in the NPI registry since September 2007.

NPPES Registry Identity

NPI1255526356
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMARISSA LYNN FITZGIBBON
Location Address1 MAIN STSan Quentin, CA 94964-1000
Mailing Address22505 Woodroe AveHayward, CA 94541-3410 · (510) 613-0330
Sole ProprietorNo
Enumeration DateSeptember 11, 2007
Last NPPES UpdateApril 21, 2022
NPPES CertifiedApril 21, 2022
NPI 1255526356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in CA · 29226
Definition

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.

Also ListedSocial WorkerTaxonomy 104100000X
1 MAIN ST, San Quentin, CA 94964

Other Names 1

Former Name (1)Marissa Lynn Fernandes

Other Providers at the Same Location NPPES 20

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

Family Medicine
1 MAIN ST
SAN QUENTIN, CA 94964
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1 MAIN ST
SAN QUENTIN, CA 94964
Psychologist
1 MAIN ST
SAN QUENTIN, CA 94964
Psychiatry & Neurology (Psychiatry)
1 MAIN ST, CALIFORNIA STATE PRISON, MENTAL HEALTH DEPT.
SAN QUENTIN, CA 94964
Psychologist (Clinical)
1 MAIN ST
SAN QUENTIN, CA 94964
Psychologist
1 MAIN ST, SAN QUENTIN STATE PRISON
SAN QUENTIN, CA 94964
Psychologist
1 MAIN ST, CHSB RM 2123
SAN QUENTIN, CA 94964
Social Worker (Clinical)
1 MAIN ST
SAN QUENTIN, CA 94964

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 Fitzgibbon's NPI number?

The NPI number for Marissa Fitzgibbon is 1255526356. It was assigned to this individual provider in the NPPES registry on September 11, 2007. The provider is also known as Marissa Lynn Fernandes.

Where is Marissa Fitzgibbon located?

Marissa Fitzgibbon practices at 1 Main St, San Quentin, CA 94964. The listed phone number is (415) 454-1460.

What is Marissa Fitzgibbon's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Marissa Fitzgibbon was last updated on April 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.