Individual provider Active NPI

Marissa Danea Long, MSW

  • Social Worker
  • Placerville, CA
National Provider Identifier
1710530670
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
935B Spring St
Placerville, CA 95667-4523
Phone
(530) 748-4709
Fax
(530) 748-4750
NPI assigned
Jul 19, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Social Worker 104100000X CA Primary

Addresses

Primary practice location

935B Spring St
Placerville, CA 95667-4523

Mailing address

122 S Lincoln St
Roseville, CA 95678-2741
Phone (530) 515-7035

Other practice location 1

9267 Greenback Ln
Orangevale, CA 95662-4863
Phone (916) 988-5666

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1500 21St St
Sacramento, CA 95811-7210

21151 S Western Ave
Suite B22
Torrance, CA 90501-1724

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1563494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1710530670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 S LINCOLN ST",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956782741",
            "telephone_number": "530-515-7035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935B SPRING ST",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956674523",
            "telephone_number": "530-748-4709",
            "fax_number": "530-748-4750"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9267 Greenback Ln",
            "address_purpose": "LOCATION",
            "city": "Orangevale",
            "state": "CA",
            "postal_code": "956624863",
            "country_code": "US",
            "telephone_number": "916-988-5666",
            "fax_number": "916-988-5636",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LONG",
        "first_name": "MARISSA",
        "middle_name": "DANEA",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-19",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Placerville, CA

Sources for this page

Verify at the official NPI Registry.