Marissa Struble
Individual provider Active NPI Social Worker · Perrinton, MI
NPI 1134880966 · NPPES record last updated Jul 3, 2025
Key facts
- NPI
- 1134880966
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- Practice address
- 9114 Lakeside Dr
Perrinton, MI 48871-9639 - Phone
- (989) 285-8291
- NPI assigned
- Jan 4, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Social Worker | 104100000X | Yes |
Addresses
Primary practice location
9114 Lakeside Dr
Perrinton, MI 48871-9639
Mailing address
9114 Lakeside Dr
Perrinton, MI 48871-9639
Phone (989) 285-8291
Other providers in Perrinton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 3, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.