Individual provider Active NPI

Marina Elizabeth Buck, MSW

  • Counselor
  • Spokane, WA
National Provider Identifier
1710596432
Registry record updated Jul 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
2828 W Mallon Ave
Spokane, WA 99201-1553
Phone
(509) 327-7737
NPI assigned
Jul 28, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

2828 W Mallon Ave
Spokane, WA 99201-1553

Mailing address

2828 W Mallon Ave
Spokane, WA 99201-1553

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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

Enrollment IDStateProvider typePAC IDDetails
I20250616000645 ID Practitioner - Clinical Social Worker 8224549407 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Raising Resilience Holistic Mental Wellness IncGroup PAC ID 5193102051, 2 clinicians

Practice addresses (Care Compare)

500 N Government Way
Suite 300
Coeur D Alene, ID 83814-2976
Phone (208) 273-9147

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Raising Resilience Holistic Mental Wellness Inc CurrentSince Mar 8, 2025 Accepting new patients
Union Gospel Mission PastSince Aug 2, 2020 Accepting new patients

Locations

500 N Government Way
Ste 300
Coeur D Alene, ID 83814
Phone (208) 273-9147

Organizations & group practices 2

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": "1595894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595894400000",
    "number": "1710596432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2828 W MALLON AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992011553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2828 W MALLON AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992011553",
            "telephone_number": "509-327-7737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCK",
        "first_name": "MARINA",
        "middle_name": "ELIZABETH",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-28",
        "last_updated": "2020-07-28",
        "certification_date": "2020-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.