Marissa Gadacy, LCSW (LICSW PENDING)

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

PENDING Issued in MA

Practice address

74 Sylvan St Ste B-102
Danvers, MA 01923-2722

Phone

(000) 000-0000

NPI assigned

Aug 31, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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": "1630368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630368000000",
    "number": "1265100812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 SALEM ST APT 3RR",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021485241",
            "telephone_number": "203-812-0458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 SYLVAN ST STE B-102",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019232722",
            "telephone_number": "000-000-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GADACY",
        "first_name": "MARISSA",
        "credential": "LCSW (LICSW PENDING)",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-31",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "PENDING",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MA",
            "license": "225179",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brent Alan Fryling, M.D.
• Amy Margaret Fuller, DNP, WHNP-BC, RNC
• Andrea Fuller, BCBA
• Annabel C Furber, ED.M.
• Juliana Gabelus
• Marion L Gagnon, OTR
• Kristen Gahagan
• Gaia Urology,PC
• Angela Galioto
• Courteney Gallagher

• Clinical Social Worker in Danvers, MA
• Providers in Danvers, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; 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.