Individual provider Active NPI

Marissa Rodriguez

  • Clinical Social Worker
  • Lynnwood, WA
National Provider Identifier
1154843894
Registry record updated Oct 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW61623901 Issued in WA
Practice address
20006 Cedar Valley Rd Ste 204
Lynnwood, WA 98036-6334
Phone
(951) 305-2471
NPI assigned
Jul 14, 2017
Last updated
Oct 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X LW61623901 WA Primary

Addresses

Primary practice location

20006 Cedar Valley Rd Ste 204
Lynnwood, WA 98036-6334

Mailing address

1220 NE 143Rd St Apt 215G
Seattle, WA 98125-3151
Phone (951) 305-2471

Other practice location 1

4500 9th Ave NE Ste 300
Seattle, WA 98105-4762
Phone (206) 591-1782

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

Practice roles

OrganizationSpecialtyStatusNew patients
Linked Therapy, PLLC Clinical Past Accepting new patients
Holistic Child and Family Practice, PLLC Clinical Past 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": "1499990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793232000000",
    "number": "1154843894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 NE 143RD ST APT 215G",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981253151",
            "telephone_number": "951-305-2471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20006 CEDAR VALLEY RD STE 204",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980366334",
            "telephone_number": "951-305-2471"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4500 9th Ave NE Ste 300",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981054762",
            "country_code": "US",
            "telephone_number": "206-591-1782",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "MARISSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-14",
        "last_updated": "2026-10-29",
        "certification_date": "2026-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW61623901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynnwood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2026; 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.