Marisa Wilson Reese, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW80026 Issued in CA

Practice address

2525 Pio Pico Dr
Carlsbad, CA 92008-1568

Phone

(760) 431-4100

NPI assigned

Feb 17, 2020

Last updated

Nov 27, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Marisa Shea Wilson Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1581897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1205469426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4205 CORTE CT",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920576480",
            "telephone_number": "760-500-0742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 PIO PICO DR",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920081568",
            "telephone_number": "760-431-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REESE",
        "first_name": "MARISA",
        "middle_name": "WILSON",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-17",
        "last_updated": "2023-11-27",
        "certification_date": "2020-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW80026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Hospicenorthcoast.org",
            "affiliation": "Y",
            "affiliationName": "Hospice of the North Coast",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2525 Pio Pico Dr",
            "city": "Carlsbad",
            "state": "CA",
            "country_code": "US",
            "postal_code": "920081568",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MARISA",
            "last_name": "WILSON",
            "middle_name": "SHEA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amanda Reddy
• Nancy Pauline Redlich, MSPT
• Victoria Redmond, MA, LMFT
• Roslyn Joyce Reece, PHD.
• Jasmine Jazel Reed
• Linda Reeve
• Riley Victoria Reeves
• Alondra Refugio
• Rehab United Sports Medicine & Physical Therapy, Inc.
• Rumana Rehman, O.D.

• Clinical Social Worker in Carlsbad, CA
• Providers in Carlsbad, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.