Individual provider Active NPI

Marissa Anne Cardosi, MSW, LCSWA

  • Clinical Social Worker
  • Raleigh, NC
National Provider Identifier
1760174650
Registry record updated May 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P020623 Issued in NC
Practice address
2231 E Millbrook Rd Ste 101
Raleigh, NC 27604-1746
Phone
(919) 307-8165
NPI assigned
May 22, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2024

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 P020623 NC Primary

Addresses

Primary practice location

2231 E Millbrook Rd Ste 101
Raleigh, NC 27604-1746

Mailing address

7305 Krume CT Apt 1333
Raleigh, NC 27613-3892
Phone (412) 584-7215

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
P020623NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Solaz, LLC CurrentSince Jun 2, 2024 Accepting new patients

Locations

2231 E Millbrook Rd
Ste 101
Raleigh, NC 27604
Phone (919) 307-8165

Organizations & group practices 1

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": "1684713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717113600000",
    "number": "1760174650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7305 KRUME CT APT 1333",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276133892",
            "telephone_number": "412-584-7215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2231 E MILLBROOK RD STE 101",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276041746",
            "telephone_number": "919-307-8165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDOSI",
        "first_name": "MARISSA",
        "middle_name": "ANNE",
        "credential": "MSW, LCSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-22",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P020623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; 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.