Marissa J Happ, LCSW, DSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.016435 Issued in IL

Practice address

412 N. Lake St.
Aurora, IL 60506-4106

Phone

(630) 896-2337

Fax

(630) 896-3515

NPI assigned

Mar 26, 2020

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

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Gateway Psychological Services LTDGroup PAC ID 7810146990, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Gateway Psychological Services, LTD

  • Clinical Psychologist
  • Aurora, IL
  • NPI 1619163268
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1585180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585180800000",
    "number": "1457988693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 N. LAKE ST.",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605064106",
            "telephone_number": "630-896-2337",
            "fax_number": "630-896-3515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 N. LAKE ST.",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605064106",
            "telephone_number": "630-896-2337",
            "fax_number": "630-896-3515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAPP",
        "first_name": "MARISSA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "LCSW, DSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-26",
        "last_updated": "2020-03-26",
        "certification_date": "2020-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.016435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Sue Hansen
• Abby Hanson
• Analise Hanson
• Crispin Hao, M.D.
• Jianjun Hao, DDS
• Elizabeth Anne Haptonstahl, LCSW
• Tasneem Haq
• Zain Haq
• Meghan E Harazin
• Jolene Catherine Harbaugh, PSY.D.

• Clinical Social Worker in Aurora, IL
• Providers in Aurora, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.