Mrs. Marissa L Maple, LCSW
Social Worker, Clinical in Southington, Connecticut
1366861551- Practice location
- 1187 Queen St, Southington, CT 06489-1266
- Phone
- 860-255-4502
- Fax
- —
- Last updated
- October 21, 2023
Marissa L Maple is a Social Worker, Clinical based in Southington, CT. Marissa L Maple practices in Southington, CT and has the professional credentials of LCSW. The NPI Number for Marissa L Maple is 1366861551 and holds a License No. PTN.0011947 (CT). The current practice location address for Marissa L Maple is 1187 Queen St, Southington, CT 06489-1266 and can be reached out via phone at 860-255-4502.
Provider Profile Details
- NPI Number
- 1366861551
- Provider Name
- Marissa L Maple
- Credential
- LCSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1187 Queen St, Southington, CT 06489-1266
- Phone Number
- 860-255-4502
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- No
- Other Names
- Mrs. Marissa L Maple (Former Name)
- Provider Enumeration Date
- April 15, 2014
- Last Update Date
- October 21, 2023
- Certification Date
- October 21, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1187 Queen St
Southington, CT 06489-1266 - City
- Southington
- State
- Connecticut
- Zip
- 06489-1266
- Phone Number
- 860-255-4502
Provider Business Mailing Address Details
- Address
- 1187 Queen St
Southington, CT 06489-1266 - City
- Southington
- State
- CT
- Zip
- 06489-1266
- Phone Number
- 860-255-4502
License Information
- License Number (1)
- PTN.0011947
- License State (1)
- CT
- Taxonomy (1)
- Pharmacy Technician · 183700000X
- License Number (2)
- 9267
- License State (2)
- CT
- Taxonomy (2)
- Social Worker, Clinical · 1041C0700X · Primary
- Taxonomy (3)
- Social Worker, Clinical · 1041C0700X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Social Worker, Clinical providers near Southington, CT
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- Ash A Baer, LMSWSocial Worker, Clinical · NPI 1831000595
- Cassandra Marcheggiani, LLCSocial Worker, Clinical · NPI 1598263881
- Choose Your Path Counseling LLCSocial Worker, Clinical · NPI 1639719545
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Frequently Asked Questions
What is the NPI number of Mrs. Marissa L Maple, LCSW?
The NPI number of Mrs. Marissa L Maple, LCSW is 1366861551. It was assigned on April 15, 2014 and is currently active in the NPPES registry.
What is the specialty of Mrs. Marissa L Maple, LCSW?
Mrs. Marissa L Maple, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in CT under license number PTN.0011947.
Where does Mrs. Marissa L Maple, LCSW practice?
The practice location is 1187 Queen St, Southington, CT 06489-1266. The office can be reached at 860-255-4502 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1366861551 directly on the NPPES registry website.