MARISA KAWABE
NPI 1821666140
Social Worker - Clinical in Fayetteville, NC

Active since June 14, 2021PECOS EnrolledAccepts Medicare Assignment
1340 WALTER REED RD STE 202, FAYETTEVILLE, NC 28304(910) 504-3506(910) 504-3507 Get Directions Write a Review

NPPES record last updated: November 10, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 10, 2025, Aug 2, 2021, Jun 14, 2021 (3 updates tracked since 2021).

About Marisa Kawabe NPPES

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

MARISA KAWABE (NPI 1821666140) is an individual clinical provider in Fayetteville, North Carolina, licensed in North Carolina (P020088) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1821666140
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMARISA KAWABE
Location Address1340 WALTER REED RD STE 202Fayetteville, NC 28304-4451
Mailing Address1340 Walter Reed Rd Ste 202Fayetteville, NC 28304-4451 · (910) 504-3506 · Fax (910) 504-3507
Fax(910) 504-3507
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateJune 14, 2021
Last NPPES UpdateNovember 10, 20253 updates tracked since enumeration
NPPES CertifiedNovember 10, 2025
NPI 1821666140 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in NC · P020088
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.

1340 WALTER REED RD STE 202, Fayetteville, NC 28304

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Marisa Kawabe is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7315439262
PECOS Enrollment IDI20251126003332
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28304 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.12 – $165.09
Typical copayment $0.00 (range $13.53 – $41.27)
Most-billed visit code NA
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

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

Nurse Practitioner (Psychiatric/Mental Health)
1340 WALTER REED RD STE 202
FAYETTEVILLE, NC 28304
Physician Assistant
1340 WALTER REED RD STE 202
FAYETTEVILLE, NC 28304
Psychiatry & Neurology (Psychiatry)
1340 WALTER REED RD STE 202
FAYETTEVILLE, NC 28304
Physician Assistant
1340 WALTER REED RD STE 202
FAYETTEVILLE, NC 28304
Physician Assistant (Medical)
1340 WALTER REED RD STE 202
FAYETTEVILLE, NC 28304
Social Worker (Clinical)
1340 WALTER REED RD STE 202
FAYETTEVILLE, NC 28304
Nurse Practitioner (Psychiatric/Mental Health)
1340 WALTER REED RD STE 202
FAYETTEVILLE, NC 28304
Psychiatry & Neurology (Psychiatry)
1340 WALTER REED RD STE 202
FAYETTEVILLE, NC 28304

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1821666140, enumerated as an "individual" on June 14, 2021.

The provider is located at 1340 WALTER REED RD STE 202 FAYETTEVILLE, NC 28304 and the phone number is (910) 504-3506.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.