MRS. MARISA A GULLICKSRUD (NPI# 1093101669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093101669 |
| Entity Type | Individual |
| Full Name | MRS. MARISA A GULLICKSRUD |
| Credential | LCSW |
| Practice Address |
1501 Albion St Denver CO 80220-1028 |
| Practice Telephone | 3033999489 |
| Mailing Telephone | 3033999489 |
| Enumeration Date | 2015-04-10 |
| Last Update Date | 2020-01-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
538 | CO | Behavioral Health & Social Service Providers |
| Street Address |
1501 ALBION ST |
| City | DENVER |
| State | CO |
| Zip Code | 80220-1028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467469312 | Denver Children's Home | Residential Treatment Facility, Emotionally Disturbed Children | 1501 Albion St, Denver, CO 80220-1028 | 2006-08-02 |
| 1629684071 | Lauren Renee Hamilton | Counselor | 1501 Albion St, Denver, CO 80220-1028 | 2020-09-21 |
| 1386272953 | Carly Elizabeth Keaten | Counselor | 1501 Albion St, Denver, CO 80220-1028 | 2020-03-30 |
| 1841703279 | Elizabeth Thompson | Counselor | 1501 Albion St, Denver, CO 80220-1028 | 2017-11-07 |
| 1841749587 | Myriam Reynolds | Counselor | 1501 Albion St, Denver, CO 80220-1028 | 2016-09-22 |
| 1952858458 | Rebecca Hea | Psychologist | 1501 Albion St, Denver, CO 80220-1028 | 2016-09-01 |
| 1336546241 | Carly Walters | Psychologist | 1501 Albion St, Denver, CO 80220-1028 | 2014-11-21 |
| 1043594989 | Kate Nielsen | Social Worker | 1501 Albion St, Denver, CO 80220-1028 | 2011-10-10 |
| 1326347477 | Alison Files Winterle | Counselor | 1501 Albion St, Denver, CO 80220-1028 | 2011-03-15 |
| 1154631976 | Jessica Ann Norris | Social Worker | 1501 Albion St, Denver, CO 80220-1028 | 2010-10-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053876748 | Woody Dental Pllc | Dentist | 5989 E Colfax Avenue, Denver, CO 80220 | 2019-02-06 |
| 1366961930 | Maita Angelica Thams | Case Manager/Care Coordinator | 4455 E. 12th Ave, Denver, CO 80220 | 2017-09-14 |
| 1962943837 | Rocky Mountain Therapy Ltd | Clinic/Center | 883 Jersey St, Denver, CO 80220 | 2017-03-13 |
| 1578019188 | Alfredo Guzman | Pharmacist | 1055 Cleremont, Denver, CO 80220 | 2016-09-01 |
| 1265802144 | Joseph Parker Morse | Case Manager/Care Coordinator | 4455 East 12th Avenue, Denver, CO 80220 | 2015-10-05 |
| 1104296789 | Eric Poissant | Physical Therapist | 4700 East Hale Parkway, #550, Denver, CO 80220 | 2015-09-25 |
| 1104292085 | Casey Lucarelli | Student in an Organized Health Care Education/Training Program | 4455 E. 12th Av., Mhcd, Denver, CO 80220 | 2015-08-14 |
| 1124414081 | Domenic Michael Terenzi | Hospitalist | 8001 E 11th Ave Unit 5210, Denver, CO 80220 | 2015-04-07 |
| 1730598566 | Jessica Nichole Heck | Pharmacist | 1055 Clermont Street (119), Denver Va Medical Center- Echcs, Denver, CO 80220 | 2014-08-06 |
| 1063840171 | Kellie Ann Douglas | Nurse Practitioner | 4545 E 9th Ave Ste 260, Denver, CO 80220 | 2013-10-29 |
| Find all providers in zip 80220 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
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|---|---|---|---|---|
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| 1992305791 | Heather's Healing Therapy | Social Worker | 3550 S Harlan St Unit 267, Denver, CO 80235-2712 | 2020-10-30 |
| 1801495288 | Marissa Schnell | Social Worker | 8012 Norman Pointe Dr, Denver, NC 28037-7700 | 2020-10-18 |
| 1417563123 | Joy As Resistance | Social Worker | 7779 Martin Luther King Blvd, Denver, CO 80238-3802 | 2020-09-17 |
| 1902411572 | Destinee Ortega | Social Worker | 2985 Grove St, Denver, CO 80211-3749 | 2020-09-10 |
| 1184235947 | Croswaite Counseling, Pllc | Social Worker | 1928 E 18th Ave, Denver, CO 80206-1108 | 2020-08-13 |
| 1477164382 | Croswaite Counseling, Pllc | Social Worker | 1220 S Parker Rd Ste 201a, Denver, CO 80231-2115 | 2020-08-13 |
| 1952911125 | Bridget Camacho | Social Worker | 191 S Emerson St, Denver, CO 80209-2209 | 2020-08-03 |
| 1588273957 | Center for Valued Living, Pllc | Social Worker | 1355 S Colorado Blvd Ste C810, Denver, CO 80222-3351 | 2020-07-30 |
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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.