Marsha Ann Fasullo, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1654 Issued in LA

Practice address

433 Metairie Rd
Suite 106
Metairie, LA 70005-4333

Phone

(504) 835-5007

Fax

(504) 835-5018

NPI assigned

Nov 30, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Catholic Charities Archdiocese of New Orleans

  • Community/Behavioral Health Agency
  • Metairie, LA
  • NPI 1053522623
  NPD (past)

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

{
    "created_epoch": "1196380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196380800000",
    "number": "1407038540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 CHERRY BLOSSOM LN",
            "city": "TERRYTOWN",
            "state": "LA",
            "postal_code": "700562758",
            "telephone_number": "504-388-3258",
            "fax_number": "504-263-1556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 METAIRIE RD",
            "address_2": "SUITE 106",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700054333",
            "telephone_number": "504-835-5007",
            "fax_number": "504-835-5018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FASULLO",
        "first_name": "MARSHA",
        "middle_name": "ANN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-30",
        "last_updated": "2007-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "1654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia K Farris, M.D.
• Ronnesha Alexander Farve
• Yolanda Fascitelli
• Gregory Fassnacht, PHD BCBA
• Kari R. Fast
• Dione Crosby Faucheux, PHARMD
• Barry Francis Faust Jr., MD
• Jacqueline Ruth Faust, D.D.S.
• Margaret Fausz
• Anne Fradella Favret, NP-C

• Clinical Social Worker in Metairie, LA
• Providers in Metairie, LA by specialty
• Clinical Social Worker in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2007; 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.