Active NPI
Marissa Lynn McDermit, LSW
- Clinical Social Worker
- Mill Hall, PA
National Provider Identifier
1487081980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW026582
- Practice address
- 7932 Nittany Valley Dr
Mill Hall, PA 17751-8805 - Phone
- (570) 726-4592
- Fax
- (570) 726-4082
- NPI assigned
- Sep 30, 2013
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CW026582 | PA | Primary |
Addresses
Primary practice location
7932 Nittany Valley Dr
Mill Hall, PA 17751-8805
Mailing address
663 Bellefonte Ave Apt 2
Lock Haven, PA 17745-2433
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251202001858 | PA | Practitioner - Clinical Social Worker | 2163915893 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Radiance Wellness Group LLC
Practice addresses (Care Compare)
1341 E 3Rd St
Williamsport, PA 17701-5409
Phone (570) 601-4325
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CW026582 | PA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Radiance Wellness Group LLC | Current | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760227200000",
"number": "1487081980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "663 BELLEFONTE AVE APT 2",
"city": "LOCK HAVEN",
"state": "PA",
"postal_code": "177452433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7932 NITTANY VALLEY DR",
"city": "MILL HALL",
"state": "PA",
"postal_code": "177518805",
"telephone_number": "570-726-4592",
"fax_number": "570-726-4082"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDERMIT",
"first_name": "MARISSA",
"middle_name": "LYNN",
"credential": "LSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-09-30",
"last_updated": "2025-10-12",
"certification_date": "2025-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW026582",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mill Hall, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2025; 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.