Organization Active NPI

Relief With Rissa

  • Clinical Social Worker
  • Gambrills, MD
National Provider Identifier
1780306738
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
RELIEF WITH RISSA
Practice address
1404 S Main Chapel Way Ste 104
Gambrills, MD 21054-1860
Phone
(240) 264-7941
NPI assigned
Sep 16, 2022
Last updated
Mar 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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

Authorized official

Name
Mrs. Mirissa Mercedes Jackson, LCSW-CNPI 1831757905
Title
Owner/ Therapist
Phone
(240) 264-7941

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

1404 S Main Chapel Way Ste 104
Gambrills, MD 21054-1860

Mailing address

PSC 78 Box 7226
Apo, AP 96326-0073
Phone (240) 264-7941

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mjackson@releifwithrissa.org Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1663286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741651200000",
    "number": "1780306738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "MIL",
            "address_1": "PSC 78 BOX 7226",
            "city": "APO",
            "state": "AP",
            "postal_code": "963260073",
            "telephone_number": "240-264-7941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1404 S MAIN CHAPEL WAY STE 104",
            "city": "GAMBRILLS",
            "state": "MD",
            "postal_code": "210541860",
            "telephone_number": "240-264-7941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIEF WITH RISSA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-16",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "MIRISSA",
        "authorized_official_middle_name": "MERCEDES",
        "authorized_official_title_or_position": "OWNER/ THERAPIST",
        "authorized_official_telephone_number": "240-264-7941",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mjackson@releifwithrissa.org",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1404 S Main Chapel Way Ste 104",
            "city": "Gambrills",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210541860",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gambrills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.