MARISSA WEICK (NPI# 1306193958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306193958 |
| Entity Type | Individual |
| Full Name | MARISSA WEICK |
| Credential | LSW |
| Practice Address |
2475 Mcclellan Avenue Pennsauken NJ 08109 |
| Mailing Address |
2475 Mcclellan Ave Pennsauken NJ 08109-4683 |
| Practice Telephone | 8566753661 |
| Mailing Telephone | 8566753661 |
| Enumeration Date | 2012-08-13 |
| Last Update Date | 2012-08-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
44SL05707800 | NJ | Behavioral Health & Social Service Providers |
| Street Address |
2475 MCCLELLAN AVENUE |
| City | PENNSAUKEN |
| State | NJ |
| Zip Code | 08109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063662187 | Life At Lourdes Inc | PACE Provider Organization | 2475 Mcclellan Avenue, Pennsauken, NJ 08109 | 2008-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730615543 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8301 Maple Ave, Pennsauken, NJ 08109 | 2017-05-11 |
| 1588085237 | Annie Nicole Fisher | Social Worker | 21 Merwit Court, Merchantville, NJ 08109 | 2013-12-26 |
| 1992013437 | Reliable Resources LLC | In Home Supportive Care | 211 West End Ave, Merchantville, NJ 08109 | 2010-09-17 |
| 1184942351 | Matt Lobel | Pharmacist | 14 South Cenre Street, Merchantville, NJ 08109 | 2010-05-12 |
| 1376712786 | Pinnacle Treatment Centers Nj IIi LLC | Clinic/Center | 7980 S Crescent Boulevard, Pennsauken, NJ 08109 | 2008-02-29 |
| 1043488851 | Karen Claytor | Physical Therapist | 2626 Mandall Ave, Pennsauken, NJ 08109 | 2008-02-14 |
| 1235334814 | Marian W Mote | Nurse Practitioner | Merchantville Pediatrics- A Division of Cha, 1 S. Centre Street, Suite 100, Merchantville, NJ 08109 | 2007-06-15 |
| 1386865905 | Enrico Doganiero | Pharmacist | 6338 Browning Rd, Pennsauken, NJ 08109 | 2007-05-01 |
| 1710008164 | Michele Jo Hain | Physical Therapist | 6981 N Park Drive, Suite 102, Pennsaukin, NJ 08109 | 2007-04-03 |
| 1902921562 | Occupational Health Centers of New Jersey, P.a. | Clinic/Center | 7204 North Park Drive, Pennsauken, NJ 08109 | 2007-03-20 |
| Find all providers in zip 08109 | ||||
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275092504 | Richard Rivera | Social Worker | 7999 N Route 130, Pennsauken, NJ 08110-1402 | 2019-03-16 |
| 1902155716 | Joanne Jett-el | Social Worker | 6146 Pleasant Ave, Pennsauken, NJ 08110-3537 | 2012-09-07 |
| 1902152788 | Stacey Lee | Social Worker | 2475 Mcclellan Ave Bldg C, Pennsauken, NJ 08109-4683 | 2012-07-30 |
| 1780835470 | Christine Marie Antonelli | Social Worker | 2400 Mcclellan Ave, Suite 101 East, Pennsauken, NJ 08109-4609 | 2008-10-01 |
| 1366467292 | Antonelli & Associates, Inc. | Social Worker | 2400 Mcclellan Blvd, Suite 101 East, Pennsauken, NJ 08109-4609 | 2006-07-13 |
| 1578173282 | Achieving Nirvana LLC | Social Worker | 2402 Browning Rd, Pennsauken, NJ 08110-1917 | 2020-08-06 |
| 1194358788 | Shana Cullen | Social Worker | 2500 Mcclellan Ave Ste 300, Pennsauken, NJ 08109-0001 | 2020-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417916 | Emily Hocking LLC | Social Worker | 3322 Route 22 Ste 806, Branchburg, NJ 08876-4406 | 2020-11-06 |
| 1699376566 | Francesca Bautista | Social Worker | 246 Outwater Ln, Garfield, NJ 07026-2606 | 2020-11-05 |
| 1326649419 | Lillian Serrano | Social Worker | 1881 S Delsea Dr Ste 7, Vineland, NJ 08360-6398 | 2020-11-04 |
| 1730780297 | Caroline Pence | Social Worker | 38 Waldron Ave, Summit, NJ 07901-2806 | 2020-11-02 |
| 1750981312 | Kylie Cleesattel | Social Worker | 37 Maple St Fl 2, Bloomfield, NJ 07003-3601 | 2020-10-31 |
| 1942800636 | Rising Road Counseling | Social Worker | 9 S Main St Ste 1b, Marlboro, NJ 07746-1539 | 2020-10-30 |
| 1043810831 | Carol Somerville | Social Worker | 9 Tenafly Rd, Tenafly, NJ 07670-2610 | 2020-10-29 |
| 1164022083 | Sarah Jack Services, LLC | Social Worker | 256 Sherman Ave, Teaneck, NJ 07666-3311 | 2020-10-29 |
| 1770183725 | Catherine Friedl Hartmann | Social Worker | 17 Cleveland Ave, Waldwick, NJ 07463-1622 | 2020-10-29 |
| 1053911131 | Megan Flanagan Lee | Social Worker | 230 Kinderkamack Rd Unit 309, River Edge, NJ 07661-2187 | 2020-10-28 |
| Find all providers with the same taxonomy | ||||
| City | PENNSAUKEN |
| Zip Code | 08109 |
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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.