Marissa Baker, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2344 Issued in NH

Practice address

35 Newport Rd
New London, NH 03257-5413

Phone

(603) 865-1321

Fax

(603) 865-1327

NPI assigned

Jan 2, 2020

Last updated

Feb 2, 2021By 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 2

Addresses

Other names 1

• Marissa Paniccia Former name

Medicare fee-for-service enrollment

Enrolled in NH

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Counseling Associates of New London PLLC

  • Mental Health Counselor
  • New London, NH
  • NPI 1205055365

  Clinical

  Medicare reassignment NPD
• Urologic Associates, PC

  • Urology Physician
  • New London, CT
  • NPI 1740362730
  NPD (past)

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

{
    "created_epoch": "1577923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612224000000",
    "number": "1093354540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 NEWPORT RD",
            "city": "NEW LONDON",
            "state": "NH",
            "postal_code": "032575413",
            "telephone_number": "603-865-1321",
            "fax_number": "603-865-1327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 NEWPORT RD",
            "city": "NEW LONDON",
            "state": "NH",
            "postal_code": "032575413",
            "telephone_number": "603-865-1321",
            "fax_number": "603-865-1327"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21 Montauk Ave",
            "address_purpose": "LOCATION",
            "city": "New London",
            "state": "CT",
            "postal_code": "063204906",
            "country_code": "US",
            "telephone_number": "860-271-4783",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAKER",
        "first_name": "MARISSA",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-02",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "10824",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "2344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARISSA",
            "last_name": "PANICCIA",
            "credential": "MSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ascend LLC
• Paul Asenjo, CRNA
• Jennifer Austin, PHD, ATC
• Sarah Badgley
• Danielle Baker, MSW
• Barban Eye Associates ,PC and Optical
• Barban Eye Associates, P.C.
• Gregory Michael Barban, M.D.
• Charles Andrew Batt, MD
• Leigh A Bears, ARNP

• Clinical Social Worker in New London, NH
• Providers in New London, NH by specialty
• Clinical Social Worker in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2021; 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.