Active NPI
Marissa Perry
- Social Worker
- Shelbyville, IN
National Provider Identifier
1306716675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 33010352A
- Practice address
- 1200 W McKay Rd
Shelbyville, IN 46176-3292 - Phone
- (765) 309-1249
- NPI assigned
- Nov 10, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 33010352A | IN | Primary |
Addresses
Primary practice location
1200 W McKay Rd
Shelbyville, IN 46176-3292
Mailing address
1712 Culbertson Rd
Shelbyville, IN 46176-2836
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33010352A | IN | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1762732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762732800000",
"number": "1306716675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1712 CULBERTSON RD",
"city": "SHELBYVILLE",
"state": "IN",
"postal_code": "461762836"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 W MCKAY RD",
"city": "SHELBYVILLE",
"state": "IN",
"postal_code": "461763292",
"telephone_number": "765-309-1249"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRY",
"first_name": "MARISSA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-11-10",
"last_updated": "2025-11-10",
"certification_date": "2025-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IN",
"license": "33010352A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shelbyville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.