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MARISSA VELLICHOR
NPI 1508190497
Social Worker - Clinical in Ewa Beach, HI

Active since September 24, 2009Opted out of Medicare · through Jan 1, 2027
91-2301 OLD FT WEAVER RD, EWA BEACH, HI 96706(808) 542-0435 Get Directions Write a Review

NPPES record last updated: July 22, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 22, 2024, Sep 24, 2021, Jul 30, 2021 and 1 more (4 updates tracked since 2016).

About Marissa Vellichor NPPES

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

MARISSA VELLICHOR (NPI 1508190497) is an individual clinical provider in Ewa Beach, Hawaii, licensed in Hawaii (4706) and active in the NPI registry since September 2009. She has opted out of Medicare through January 1, 2027 and maintains a secondary practice location in San Francisco.

NPPES Registry Identity

NPI1508190497
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMARISSA VELLICHOR
Location Address91-2301 OLD FT WEAVER RDEwa Beach, HI 96706-3602
Mailing Address826 Camino Real Unit 201Redondo Beach, CA 90277-4329 · (808) 542-0435
Phone(808) 542-0435
Sole ProprietorYes
Enumeration DateSeptember 24, 2009
Last NPPES UpdateJuly 22, 20244 updates tracked since enumeration
NPPES CertifiedJuly 22, 2024
✔ NPI 1508190497 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
Licenses✔ Licensed in HI · 4706✔ Licensed in CA · 70022
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 · License ASW28692 (CA)
91-2301 OLD FT WEAVER RD, Ewa Beach, HI 96706
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Secondary Practice Location 1

Location 1450 Stanyan St # 3NorthSan Francisco, CA 94117-1019 · Phone (415) 750-5637

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Marissa Vellichor has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2023 through January 1, 2027.

Opt-Out Effective DateJanuary 1, 2023
Opt-Out In Effect ThroughJanuary 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

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.

KATE TRACHTE
Social Worker (Clinical)
91-2301 OLD FT WEAVER RD
EWA BEACH, HI 96706
Honolulu County (808) 671-8511
TINA P. MAI M.D.
Psychiatry & Neurology (Psychiatry)
91-2301 OLD FT WEAVER RD
EWA BEACH, HI 96706
Honolulu County (808) 671-8511
JAMES WILLIAMS
Marriage & Family Therapist
91-2301 OLD FT WEAVER RD
EWA BEACH, HI 96706
Honolulu County (808) 677-2525
DARLANI FRANCES NAZARINO GASPAR
Nurse's Aide
91-2301 OLD FT WEAVER RD
EWA BEACH, HI 96706
Honolulu County (808) 677-2525
SAMANTHA MAIORI LCSW
Social Worker (Clinical)
91-2301 OLD FT WEAVER RD
EWA BEACH, HI 96706
Honolulu County (808) 671-8511
EARLENE E. STRAYHORN MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
91-2301 OLD FT WEAVER RD
EWA BEACH, HI 96706
Honolulu County (808) 677-2587
DAWN MAUREEN NOGUCHI-LUI
Occupational Therapist
91-2301 OLD FT WEAVER RD
EWA BEACH, HI 96706
Honolulu County (808) 671-8511
JAIME NICOLE BRADNER
Social Worker
91-2301 OLD FT WEAVER RD
EWA BEACH, HI 96706
Honolulu County (808) 671-8511

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 Vellichor's NPI number?

The NPI number for Marissa Vellichor is 1508190497. It was assigned to this individual provider in the NPPES registry on September 24, 2009.

Where is Marissa Vellichor located?

Marissa Vellichor practices at 91-2301 Old Ft Weaver Rd, Ewa Beach, HI 96706. The listed phone number is (808) 542-0435.

What is Marissa Vellichor's specialty?

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

Is Marissa Vellichor enrolled in Medicare?

No. Marissa Vellichor has opted out of Medicare through January 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Marissa Vellichor accept?

Health plans from Providence Health Plan list Marissa Vellichor as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Marissa Vellichor was last updated on July 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.