Individual provider Active NPI

Marisusan Fryant, LCSW

  • Clinical Social Worker
  • Gainesville, VA
National Provider Identifier
1164165502
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904013738 Issued in VA
Practice address
7051 Heathcote Village Way Ste 115
Gainesville, VA 20155-3197
Phone
(804) 207-6737
NPI assigned
Apr 14, 2022
Last updated
Sep 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C014883 NC
Clinical Social Worker 1041C0700X 0904013738 VA Primary

Addresses

Primary practice location

7051 Heathcote Village Way Ste 115
Gainesville, VA 20155-3197

Mailing address

7051 Heathcote Village Way Ste 115
Gainesville, VA 20155-3197
Phone (804) 207-6737

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220803002733 NC Practitioner - Clinical Social Worker 7719369032 Reassigns benefits to 2 organizations
I20230726000797 VA Practitioner - Clinical Social Worker 7719369032 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Stellar Clinic CT PLLCGroup PAC ID 0840633368, 46 clinicians
Commonwealth Counseling Associates IncGroup PAC ID 0941288583, 207 clinicians

Practice addresses (Care Compare)

1806 Summit Ave
300 199
Richmond, VA 23230-4339
Phone (415) 343-5839

4030 Wake Forest Rd
Suite 349
Raleigh, NC 27609-0010
Phone (984) 343-1311

7051 Heathcote Village Way
Suite 115
Gainesville, VA 20155-3197
Phone (804) 207-6737

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C014883NCMDClinical Social Worker
0904013738VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Silver Linings for Seniors, Inc. Clinical CurrentSince Jul 20, 2022 Accepting new patients
Stellar Clinic CT PLLC CurrentSince Jan 29, 2024 Accepting new patients
Kristin McArthur, MD, PLLC CurrentSince Jul 20, 2022 Accepting new patients

Locations

440 N Barranca Ave
Covina, CA 91723
Phone (510) 210-5030

1250 SE Maynard Rd
Ste 204
Cary, NC 27511
Phone (919) 457-1598

4030 Wake Forest Rd
Ste 349
Raleigh, NC 27609
Phone (336) 280-8301

1806 Summit Ave
#300199
Richmond, VA 23230
Phone (415) 343-5839

Organizations & group practices 4

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": "1649894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756944000000",
    "number": "1164165502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7051 HEATHCOTE VILLAGE WAY STE 115",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201553197",
            "telephone_number": "804-207-6737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7051 HEATHCOTE VILLAGE WAY STE 115",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201553197",
            "telephone_number": "804-207-6737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRYANT",
        "first_name": "MARISUSAN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-14",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C014883",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904013738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, VA

Sources for this page

Verify at the official NPI Registry.