Marissa Sappho, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

077786 Issued in NY

Practice address

130 W 97TH St
New York, NY 10025-6450

Phone

(212) 222-6162

Fax

(212) 222-6114

NPI assigned

Nov 12, 2008

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

• Marissa Cusack Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Aurora Behavioral Health

  • Clinical Social Worker
  • New York, NY
  • NPI 1639550163
  NPD Authorized official

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

{
    "created_epoch": "1226448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463616000000",
    "number": "1225282650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 W 97TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100256450",
            "telephone_number": "212-222-6162",
            "fax_number": "212-222-6114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 W 97TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100256450",
            "telephone_number": "212-222-6162",
            "fax_number": "212-222-6114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAPPHO",
        "first_name": "MARISSA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-12",
        "last_updated": "2016-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "077786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARISSA",
            "last_name": "CUSACK",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Zachary Sapolsky, PH.D.
• Sapor Anesthesia PLLC
• Anna Gabriella Saporito, MD
• Lena A Sapozhnikoff, D.D.S
• Steven Sapozhnikov, D.O., M.S.
• Manali Uday Sapre, MD
• Mary Elizabeth Saputo, CNS, NP
• Kashaf Saqaf
• Anjali Saqi, M.D.
• Sar Cardiac Care PLLC

• Clinical Social Worker in New York, NY
• Providers in New York, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2016; 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.