Individual provider Active NPI

Marissa Kuhl, MSW, LCSW

  • Clinical Social Worker
  • Scottsdale, AZ
National Provider Identifier
1760120901
Registry record updated Jun 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-20470 Issued in AZ
Practice address
7702 E Doubletree Ranch Rd Ste 300
Scottsdale, AZ 85258-2132
Phone
(480) 535-7722
NPI assigned
May 26, 2022
Reactivated
Jun 4, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW-20470 AZ Primary

Addresses

Primary practice location

7702 E Doubletree Ranch Rd Ste 300
Scottsdale, AZ 85258-2132

Mailing address

13940 E Sand Flower Dr
Scottsdale, AZ 85262-1203
Phone (540) 525-7722

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240719000561 AZ Practitioner - Clinical Social Worker 2567908197 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW-20470AZMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
FKL Enterprises, LLC CurrentSince Aug 8, 2024 Accepting new patients
FKL Enterprises, LLC CurrentSince Jul 1, 2024 Accepting new patients

Locations

4646 E Greenway Rd
Ste 100
Phoenix, AZ 85032
Phone (480) 674-9220

8700 E Via de Ventura
Ste 280
Scottsdale, AZ 85258
Phone (480) 210-7266

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": "1653523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748736000000",
    "number": "1760120901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13940 E SAND FLOWER DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852621203",
            "telephone_number": "540-525-7722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7702 E DOUBLETREE RANCH RD STE 300",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852582132",
            "telephone_number": "480-535-7722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUHL",
        "first_name": "MARISSA",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-26",
        "last_updated": "2025-06-01",
        "certification_date": "2025-06-01",
        "deactivation_date": "2023-01-08",
        "reactivation_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-20470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.