Marissa Josub, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW.09930199 Issued in CO

Practice address

230 Chapel SQ Unit D-102
Avon, CO 81620-6497

Phone

(970) 945-2840

Fax

(970) 945-2893

NPI assigned

Oct 22, 2014

Last updated

Mar 14, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Eagle Valley Mental HealthGroup PAC ID 6204297450, 32 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eagle Valley Mental Health

  dba Eagle Valley Behavioral Health

  • Community/Behavioral Health Agency
  • Edwards, CO
  • NPI 1972267292
  Medicare reassignment Care Compare group NPD
• Eagle Valley Mental Health

  dba EVBH at Vail Health Hospital

  • Community/Behavioral Health Agency
  • Vail, CO
  • NPI 1063210946
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1413936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710374400000",
    "number": "1003211830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 339",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816020339",
            "telephone_number": "970-945-2840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 CHAPEL SQ UNIT D-102",
            "city": "AVON",
            "state": "CO",
            "postal_code": "816206497",
            "telephone_number": "970-945-2840",
            "fax_number": "970-945-2893"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "850 West Beaver Creek Blvd",
            "address_purpose": "LOCATION",
            "city": "Avon",
            "state": "CO",
            "postal_code": "816209201",
            "country_code": "US",
            "telephone_number": "970-945-2840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOSUB",
        "first_name": "MARISSA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-22",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09930199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen M. Howard
• Andrea P Hutchinson, NP-C
• Sara E Iafrate, MT
• Shannon Marie Irish, PT
• Terese E Jeppson
• Kate Skaggs, Inc
• Lori Ann Kaylor
• Keith McCarroll (Ascent Physical Therapy)
• Dianna Marilyn Kelsey, LAC., LMT, MS OM
• Kidney Center of the Rockies LLC

• Clinical Social Worker in Avon, CO
• Providers in Avon, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.