Marisa Rae Soliday

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

5010 N Stone Mill Rd # B
Bloomington, IN 47408-9320

Phone

(812) 929-2193

NPI assigned

Apr 25, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• New Outlook Counseling Center Inc

  • Community/Behavioral Health Agency
  • Bloomington, IN
  • NPI 1033527619
  NPD (past)
• New Outlook Counseling Center Inc

  • Community/Behavioral Health Agency
  • Bloomington, IN
  • NPI 1891099073
  NPD (past)

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

{
    "created_epoch": "1493078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737072000000",
    "number": "1740715903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5010 N STONE MILL RD # B",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474089320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5010 N STONE MILL RD # B",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474089320",
            "telephone_number": "812-929-2193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLIDAY",
        "first_name": "MARISA",
        "middle_name": "RAE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-25",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Snyder, LMHC, PMH-C
• Julie Soddy-Gamblin, CMT
• Zoie Soehngen
• Gracie Sogocio
• Kristine L Soles, MA
• Julia Solomon
• Alan B Somers, MD
• Emma Koren Sommer, PA-C
• Kenna Sondhelm
• Prem Sarita Soni, O.D.

• Clinical Social Worker in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2025; 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.