Marissa Caton, LMSW

Individual provider Active NPI Clinical Social Worker · Ada, MI

NPI 1760938435 · NPPES record last updated Aug 18, 2023

Key facts

NPI
1760938435
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
6800309 (MI)
Practice address
7195 Thornapple River Dr SE
Ada, MI 49301-8411
Phone
(616) 929-0248
NPI assigned
Aug 31, 2016
Sex
Female
Sole proprietor
No

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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
6800309MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Sana Initiative, LLC Social Worker Past
since Aug 27, 2023
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6800309 MI Yes

Addresses

Primary practice location

7195 Thornapple River Dr SE
Ada, MI 49301-8411

Mailing address

7125 Headley St SE Unit 65
Ada, MI 49301-4502
Phone (616) 279-5847

Other identifiers

IdentifierTypeStateIssuer
1715928MedicaidMI

Other providers in Ada, MI

All providers in Ada, MI · Clinical Social Worker in Michigan

Sources for this page

Verify at the official NPI Registry.