Marissa Baldanza, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

102292 Issued in NY

Practice address

1500 Hempstead Tpke
East Meadow, NY 11554-1551

Phone

(516) 739-7733

NPI assigned

Nov 8, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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": "1541635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541635200000",
    "number": "1306314273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1417 131ST ST",
            "city": "COLLEGE POINT",
            "state": "NY",
            "postal_code": "113562425",
            "telephone_number": "917-526-9495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 HEMPSTEAD TPKE",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115541551",
            "telephone_number": "516-739-7733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALDANZA",
        "first_name": "MARISSA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-08",
        "last_updated": "2018-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "102292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Baker
• Karen Baker
• Sarah R Baker, PT,DPT
• Suryakumar Balasubramanian
• Philip Balcer, PT,DPT
• Juliet Baldassarri, OT
• Leah Balsam, M.D.
• Yuvelin Baltar
• Jane Banatte, PA-C
• Daniel Joseph Bannen Jr., RPA-C

• Social Worker in East Meadow, NY
• Providers in East Meadow, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2018; 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.