Marisa Ann Anderson – Social Worker

Key facts

NPI: 1295585735
Entity type: Individual (NPI type 1)
Primary specialty: Social Worker 104100000X
License: 123042 (CA)
Practice address: 3924 Riverview Dr
Jurupa Valley, CA 92509-6611
Phone: (951) 360-4175
NPI assigned: Mar 26, 2024
Sex: Female
Sole proprietor: No

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 and National Provider Directory roles.

Jurupa Unified School District Local Education Agency (LEA) · Jurupa Valley, CA · NPI 1861037954

NPD

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
123042	CA	MD	Social Worker

Practice roles

Organization	Specialty	Status	New patients
Jurupa Unified School District		Current since Mar 31, 2024	Accepting new patients

Locations

3924 Riverview Dr
Riverside, CA 92509
Phone (951) 360-4175

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Case Manager/Care Coordinator	171M00000X		CA
Student in an Organized Health Care Education/Training Program	390200000X
Social Worker	104100000X	123042	CA	Yes

Addresses

Primary practice location

3924 Riverview Dr
Jurupa Valley, CA 92509-6611

Mailing address

4041 Tano St
Chino, CA 91710-4854
Phone (951) 212-1749

Other providers in Jurupa Valley, CA

All providers in Jurupa Valley, CA · Social Worker in California

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 11, 2024. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.