Marissa Anne Doval, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW12834 Issued in FL

Practice address

4546 N Federal Hwy
Fort Lauderdale, FL 33308-5204

Phone

(954) 261-3591

NPI assigned

Sep 13, 2013

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)

Enrolled

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

{
    "created_epoch": "1379030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573171200000",
    "number": "1427483072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2420 SW 18TH TER APT 1",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333152205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4546 N FEDERAL HWY",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333085204",
            "telephone_number": "954-261-3591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOVAL",
        "first_name": "MARISSA",
        "middle_name": "ANNE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-13",
        "last_updated": "2019-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW12834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dory Green DMD PA (DG Dental)
• Edgardo Dos Santos, MD
• Akash Doshi
• Hadassah Doucet
• Gary Ralph Douglas, DC
• Zvia Dover
• Janet Ellen Downie, MS, MCAP, CMHP
• Elnora Downing
• Jana Downum, PHD, LPC, MHC
• Charlotte Doyle, DMD

• Clinical Social Worker in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2019; 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.