MARISSA NICOLE BOSCIA-WITTEKIND (NPI# 1730695149) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730695149 |
| Entity Type | Individual |
| Full Name | MARISSA NICOLE BOSCIA-WITTEKIND |
| Credential | LMHC, CASAC |
| Practice Address |
11 Farber Dr Ste D Bellport NY 11713-1500 |
| Practice Telephone | 6312860700 |
| Practice Fax Number | 6312860688 |
| Enumeration Date | 2017-12-20 |
| Last Update Date | 2017-12-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
27142 | NY | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
006890 | NY | Behavioral Health & Social Service Providers |
| Street Address |
11 FARBER DR STE D |
| City | BELLPORT |
| State | NY |
| Zip Code | 11713-1500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750533022 | Craig Brodmerkel | Social Worker | 11 Farber Dr Ste D, Bellport, NY 11713-1500 | 2008-10-18 |
| 1154823896 | Kelsea Meuser | Social Worker | 11 Farber Dr Ste D, Bellport, NY 11713-1500 | 2018-03-07 |
| 1861909566 | Rachael Ann Witkowski | Counselor | 11 Farber Dr Ste D, Bellport, NY 11713-1500 | 2018-01-03 |
| 1205088473 | Jennie Sucilskyterman | Social Worker | 11 Farber Dr Ste D, Bellport, NY 11713-1500 | 2008-10-18 |
| 1669624938 | Harold Bush | Counselor | 11 Farber Dr Ste D, Bellport, NY 11713-1500 | 2008-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730621210 | Jessica Henderson-gray | Licensed Practical Nurse | 735 Walker Ave, Bellport, NY 11713 | 2016-11-15 |
| 1184166969 | Eshelai Jainese Fitzgerald | Licensed Practical Nurse | 138 New Jersey Ave, Bellport, NY 11713 | 2016-11-10 |
| 1437592557 | Rachel Boykin | Licensed Practical Nurse | 654 Meade Avenue, Bellport, NY 11713 | 2013-04-08 |
| 1922383702 | Gabrielle Maria Coyne | Student in an Organized Health Care Education/Training Program | 35 Kreamer Street, Bellport, NY 11713 | 2011-10-12 |
| 1003124595 | Cathy Jean Ekstrom | Speech-Language Pathologist | 352 Martha Ave, Bellport, NY 11713 | 2010-09-17 |
| 1841440401 | Colline Ann Murphy | Licensed Practical Nurse | 755 Bourdois Ave, Bellport, NY 11713 | 2008-09-19 |
| 1134398209 | Althea Lavernie Bullen | Registered Nurse | 548 Bellport Ave, Bellport, NY 11713 | 2008-02-22 |
| 1366646689 | Erica Martin | Counselor | 11 Farber Drive Unit D, Bellport, NY 11713 | 2007-06-12 |
| 1316153109 | Serenity Enterprises Inc | Counselor | 27 Champlin Avenue, Bellport, NY 11713 | 2007-05-16 |
| 1972641256 | Anne Dooling | Social Worker | 56 Bieselin Road, Bellport, NY 11713 | 2007-02-01 |
| Find all providers in zip 11713 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306406913 | Erin Werner | Counselor | 146 S Country Rd, Bellport, NY 11713-2549 | 2019-06-17 |
| 1720161433 | Joan M. Desio | Counselor | 13 Colonial Ln, Bellport, NY 11713-2905 | 2006-10-24 |
| 1528093432 | Joanne L Bagshaw | Counselor | 16 Station Rd Ste 12, Bellport, NY 11713-2449 | 2006-07-11 |
| 1861909566 | Rachael Ann Witkowski | Counselor | 11 Farber Dr Ste D, Bellport, NY 11713-1500 | 2018-01-03 |
| 1619484698 | Courtney Jean Mcdermott | Counselor | 11 Farber Drive, Bellport, NY 11713 | 2017-12-29 |
| 1922514926 | Daisy Denise Rodriguez | Counselor | 11 Farber Dr, Bellport, NY 11713 | 2017-12-28 |
| 1336525377 | Sowania Claudie Germain | Counselor | 11 Farber Dr, Bellport, NY 11713-1500 | 2015-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871194639 | Jackson Hoppey | Counselor | 17 Huyler Ct, Setauket, NY 11733-1307 | 2020-11-06 |
| 1760083588 | Jesus Rafael Vargas | Counselor | 918 E 222nd St, Bronx, NY 10469-1018 | 2020-11-06 |
| 1376144196 | Karina Rieke | Counselor | 29 Mersereau Ave, Mount Vernon, NY 10553-1105 | 2020-11-06 |
| 1477154540 | Rachel Steinhardt | Counselor | 2917 Avenue M Side Door, Brooklyn, NY 11210-4616 | 2020-11-05 |
| 1659972859 | Rebecca Ryan | Counselor | 8 Virginia Road, Babylon, NY 11702 | 2020-11-04 |
| 1760083992 | Michelle Stiles Lmhc Pllc | Counselor | 8306 Caughdenoy Rd, Clay, NY 13041-9165 | 2020-11-04 |
| 1114528304 | May Tang | Counselor | 7215 37th Ave Apt 6c, Jackson Heights, NY 11372-6214 | 2020-11-04 |
| 1063013191 | Clinicians of The Diaspora, LLC | Counselor | 203 W 117th St Apt 3e, New York, NY 10026-2139 | 2020-11-04 |
| 1871194464 | Tamara Sarita Manzo | Counselor | 60 N Waldinger St, Valley Stream, NY 11580-3809 | 2020-11-02 |
| 1730789389 | Willam Bernard Feehan | Counselor | 14 Sutton Pl S Apt 3b, New York, NY 10022-3109 | 2020-10-31 |
| Find all providers with the same taxonomy | ||||
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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.