Marissa Kovensky, MSW, LGSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

29459 Issued in MN

Practice address

10198 46TH PL NE
Saint Michael, MN 55376-3083

Phone

(763) 497-0552

Fax

(763) 497-0552

NPI assigned

Aug 13, 2025

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1755043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1043196397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 THIELEN DR",
            "city": "SAINT MICHAEL",
            "state": "MN",
            "postal_code": "553769613",
            "telephone_number": "763-515-4563",
            "fax_number": "763-497-0552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10198 46TH PL NE",
            "city": "SAINT MICHAEL",
            "state": "MN",
            "postal_code": "553763083",
            "telephone_number": "763-497-0552",
            "fax_number": "763-497-0552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOVENSKY",
        "first_name": "MARISSA",
        "credential": "MSW, LGSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-13",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MN",
            "license": "29459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Social Worker in Saint Michael, MN
• Providers in Saint Michael, MN by specialty
• Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.