MARISSA NICOLE WILSON (NPI# 1366056947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366056947 |
| Entity Type | Individual |
| Full Name | MARISSA NICOLE WILSON |
| Practice Address |
227 Buena Vista Ave Daly City CA 94015-2120 |
| Practice Telephone | 9515051991 |
| Mailing Telephone | 9515051991 |
| Enumeration Date | 2020-09-01 |
| Last Update Date | 2020-09-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | ANTHEM BLUECROSS | UCR560M87615 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992243653 | Marissa Nicole Wilson | Social Worker | 340 Gregory M Sears Dr, Gilberts, IL 60136-4051 | 2017-02-02 |
| 1568891737 | Marissa Wilson | Developmental Therapist | 6925 Barrie Lynn St, Hammond, IN 46323-2476 | 2013-11-07 |
| 1467911909 | Marissa Marshe Wilson | Case Manager/Care Coordinator | 2114 Noble Rd, Cleveland, OH 44112-1725 | 2019-03-14 |
| 1437667383 | Marissa Wilson | Counselor | 1255 Kendall Rd, San Luis Obispo, CA 93401 | 2018-01-12 |
| 1871006007 | Marissa Wilson | Behavior Technician | 111 Mackenan Dr, Cary, NC 27511-7903 | 2017-11-09 |
| 1760938435 | Marissa Wilson | Social Worker | 375 Apple Tree Dr, Ionia, MI 48846-7506 | 2016-08-31 |
| 1386029064 | Marissa Louise Wilson | Physical Therapy Assistant | 1717 6th Avenue South, Room 385 3rd Floor, Birmingham, AL 35294 | 2015-07-23 |
| Street Address |
227 BUENA VISTA AVE |
| City | DALY CITY |
| State | CA |
| Zip Code | 94015-2120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881235901 | Fast Express Ride Inc | Non-emergency Medical Transport (VAN) | 381 Westlake Ctr # 292, Daly City, CA 94015 | 2019-09-30 |
| 1598231888 | National Vision Inc | Technician/Technologist | 148a Serramonte Center, Daly City, CA 94015 | 2018-10-15 |
| 1174017313 | Glaiza Cecilia S Canares | Student in an Organized Health Care Education/Training Program | 255 Dennis Drive, Daly City, CA 94015 | 2018-06-20 |
| 1154869477 | Noah Bautista | Massage Therapist | 151 87th St Suite 4, Daly City, CA 94015 | 2017-02-07 |
| 1417387291 | Accuquest Hearing Centers | Clinic/Center | 10 Park Plaza Dr., Daly City, CA 94015 | 2013-11-15 |
| 1801193800 | Carol Crane | Physical Therapy Assistant | 333 Gellert Dr., Suite 150, Supplemental Health Care, Daly City, CA 94015 | 2011-02-28 |
| 1366753808 | Emerito Cesar C Nunag | Physical Therapy Assistant | 595 Clarinada Avenue #2, Daly City, CA 94015 | 2010-06-30 |
| 1356668016 | Lauren Rose Hendrick | Marriage & Family Therapist | 355 Gellert Blvd Suite 280, Daly City, CA 94015 | 2010-04-21 |
| 1205061868 | Isabel A. Walsh | General Practice | 783 Skyline Dr., Daly City, CA 94015 | 2009-05-26 |
| 1790933539 | Frank Geoffrey Yeh | Dentist | 1440 Southgate Ave., Daly City, CA 94015 | 2008-09-05 |
| Find all providers in zip 94015 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902326796 | Wendy Chan | Counselor | 333 Gellert Blvd Ste 206, Daly City, CA 94015-2659 | 2017-06-22 |
| 1225380561 | Glynis Lavern Adams | Counselor | 900 Campus Dr Apt 206, Daly City, CA 94015-4927 | 2012-10-10 |
| 1174828792 | Yahaira Cruz Ortega | Counselor | 9 Cypress Ct, Daly City, CA 94014 | 2011-01-12 |
| 1841486321 | Mia Rachel Gutfreund | Counselor | 699 Serramonte Blvd Ste 300, Daly City, CA 94015-4132 | 2007-09-19 |
| 1619027570 | Marianne Laruffa | Counselor | 350 90th Street, 3rd Floor, Daly City, CA 94015 | 2007-01-11 |
| 1992326391 | Abigail Esquivel-valdez | Counselor | 2001 Junipero Serra Blvd Ste 500, Daly City, CA 94014-3888 | 2020-04-27 |
| 1710547773 | Stephanie M Jones | Counselor | 2 Edgewood Ct, Daly City, CA 94014-1841 | 2019-06-20 |
| 1952969990 | Matthew Balantac | Counselor | 2 Edgewood Ct, Daly City, CA 94014-1841 | 2019-06-04 |
| 1770056509 | Amanda Lantieri | Counselor | 2 Edgewood Ct, Daly City, CA 94014-1841 | 2019-01-03 |
| 1730663501 | Anthony Keoki Gracia | Counselor | 2 Edgewood Ct, Daly City, CA 94014-1841 | 2018-09-18 |
| Find all providers in DALY CITY | ||||
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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.