Melissa Marquez, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

300-24 Issued in ID

Practice address

1550 N Crestmont Dr
Meridian, ID 83642-2184

Phone

(208) 288-4200

Fax

(208) 529-4676

NPI assigned

Feb 9, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Melissa Sharrah Former name

Medicare fee-for-service enrollment

Enrolled in ID

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Village Creek Counseling, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Meridian, ID
  • NPI 1083329585
  Medicare reassignment Authorized official
• Renewed Hope Counseling and Wellness LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Meridian, ID
  • NPI 1861893661

  Clinical

  Medicare reassignment NPD

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

{
    "created_epoch": "1234137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668384000000",
    "number": "1083853477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 W CLAIRE ST",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836467514",
            "telephone_number": "208-522-7512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 N CRESTMONT DR",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836422184",
            "telephone_number": "208-288-4200",
            "fax_number": "208-529-4676"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3597 E Monarch Sky Ln",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "ID",
            "postal_code": "836461053",
            "country_code": "US",
            "telephone_number": "208-522-7512",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARQUEZ",
        "first_name": "MELISSA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-09",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "300-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "SHARRAH",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mark E. Smith DDS, PC
• Mark L Lloyd MD Chartered
• Katrina Marks
• Molly Marler
• Emily Tyler Marques, N.P.
• Rebecca Marquez, LCPC
• Joseph Alex Marrujo, DPT
• Staci Marsh
• Audra Martin
• Brian T. Martin, PA

• Clinical Social Worker in Meridian, ID
• Providers in Meridian, ID by specialty
• Clinical Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.