Marisa A Kaali, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

LMSW-41757 Issued in ID

Practice address

400 N Allumbaugh St
Boise, ID 83704-9209

Phone

(208) 377-9669

Fax

(208) 377-1028

NPI assigned

Sep 22, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Marissa Abb Hill Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1663804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663804800000",
    "number": "1780307942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836530009",
            "telephone_number": "208-377-9669",
            "fax_number": "208-377-1028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N ALLUMBAUGH ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837049209",
            "telephone_number": "208-377-9669",
            "fax_number": "208-377-1028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAALI",
        "first_name": "MARISA",
        "middle_name": "A",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-22",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ID",
            "license": "LMSW-41757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARISSA",
            "last_name": "HILL",
            "middle_name": "ABB",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• JX2 LLC
• K a Health Services LLC
• K-Counseling & Anxiety Treatment, LLC
• K2Red LLC
• K2Red LLC
• Camryn Kaarlsen
• Vic Kadyan, M.D.
• Kristie Kaes, LCSW
• Addison Michele Kaess, OTR/L
• Alison E Kaestner

• Social Worker in Boise, ID
• Providers in Boise, ID by specialty
• Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2022; 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.