Individual provider Active NPI

Marissa Pelsozy, LSW

  • Social Worker
  • Rocky River, OH
National Provider Identifier
1144699935
Registry record updated Sep 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
S.0700125 Issued in OH
Practice address
20525 Center Ridge Rd Ste 520
Rocky River, OH 44116-3427
Phone
(440) 356-0083
NPI assigned
Sep 22, 2015
Last updated
Sep 22, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X S.0700125 OH Primary

Addresses

Primary practice location

20525 Center Ridge Rd Ste 520
Rocky River, OH 44116-3427

Mailing address

1347 Brooks Dr
Willoughby, OH 44094-5309

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
S.0700125OHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Fit Mind Cleveland PastSince Mar 20, 2025 Accepting new patients
Kelly Ferris, LLC PastSince Oct 22, 2023 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1442880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442880000000",
    "number": "1144699935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1347 BROOKS DR",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440945309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20525 CENTER RIDGE RD STE 520",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441163427",
            "telephone_number": "440-356-0083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELSOZY",
        "first_name": "MARISSA",
        "name_prefix": "Mrs.",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-22",
        "last_updated": "2015-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.0700125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky River, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2015; 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.