Active NPI
Marissa Lynn Burton, L.L.M.S.W.
- Social Worker
- Bay City, MI
National Provider Identifier
1205403581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6802091123
- Practice address
- 1217 S Euclid Ave
Bay City, MI 48706-3311 - Phone
- (989) 667-9661
- NPI assigned
- Jun 7, 2021
- Last updated
- Jan 30, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6851118243 | MI | |
| Social Worker | 104100000X | 6802091123 | MI | Primary |
Addresses
Primary practice location
1217 S Euclid Ave
Bay City, MI 48706-3311
Mailing address
1217 S Euclid Ave
Bay City, MI 48706-3311
Phone (989) 667-9661
Other practice location 1
3253 Congress Ave
Saginaw, MI 48602-3106
Phone (989) 475-4171
Other names 1
- Ms. Marissa Kostick
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6802091123 | MI | MD | Social Worker |
| 6851118243 | MI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mpa Group NFP, LTD. | Social Worker | Past | Accepting new patients |
Organizations & group practices 1
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": "1623024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738195200000",
"number": "1205403581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1217 S EUCLID AVE",
"city": "BAY CITY",
"state": "MI",
"postal_code": "487063311",
"telephone_number": "989-667-9661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1217 S EUCLID AVE",
"city": "BAY CITY",
"state": "MI",
"postal_code": "487063311",
"telephone_number": "989-667-9661"
}
],
"practiceLocations": [
{
"address_1": "3253 Congress Ave",
"address_purpose": "LOCATION",
"city": "Saginaw",
"state": "MI",
"postal_code": "486023106",
"country_code": "US",
"telephone_number": "989-475-4171",
"fax_number": "989-393-6021",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BURTON",
"first_name": "MARISSA",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "L.L.M.S.W.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-06-07",
"last_updated": "2025-01-30",
"certification_date": "2025-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6851118243",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6802091123",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARISSA",
"last_name": "KOSTICK",
"prefix": "MS.",
"credential": "L.L.M.S.W.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Bay City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.