Organization Active NPI

Marsha Pierson, LCSW

  • Clinical Social Worker
  • Petaluma, CA
National Provider Identifier
1548701485
Registry record updated Mar 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
70835 Issued in CA
Legal business name
MARSHA PIERSON, LCSW
Doing business as
The Permanente Group
Practice address
222 Weller St
Petaluma, CA 94952-3183
Phone
(202) 302-0617
NPI assigned
Mar 11, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Marsha P Pierson, LCSW
Title
Clinical Social Worker
Phone
(707) 776-6169

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 70835 CA Primary

Addresses

Primary practice location

222 Weller St
Petaluma, CA 94952-3183

Mailing address

101 2ND St Apt 310
Petaluma, CA 94952-7405
Phone (202) 302-0617

Other names 1

  • The Permanente Group Doing business as

National Provider Directory

National Provider Directory

Locations

222 Weller St
Petaluma, CA 94952
Phone (202) 302-0617

NPI Registry JSON

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

{
    "created_epoch": "1489190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489190400000",
    "number": "1548701485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 2ND ST APT 310",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949527405",
            "telephone_number": "202-302-0617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 WELLER ST",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949523183",
            "telephone_number": "202-302-0617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARSHA PIERSON, LCSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-11",
        "last_updated": "2017-03-11",
        "status": "A",
        "authorized_official_last_name": "PIERSON",
        "authorized_official_first_name": "MARSHA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "707-776-6169",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "70835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Permanente Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Petaluma, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2017; 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.