Maryssa Frances Dishinger, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801114589 Issued in MI

Practice address

620 Century Ave SW Ste 120
Grand Rapids, MI 49503-4977

Phone

(269) 406-1823

NPI assigned

Jun 10, 2014

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Virtuwell Therapy, LLC

  • Mental Health Counselor
  • Grand Rapids, MI
  • NPI 1871356212
  NPD (past)

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

{
    "created_epoch": "1402358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1801209564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 CENTURY AVE SW STE 120",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495034977",
            "telephone_number": "269-406-1823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 CENTURY AVE SW STE 120",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495034977",
            "telephone_number": "269-406-1823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DISHINGER",
        "first_name": "MARYSSA",
        "middle_name": "FRANCES",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-10",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801114589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Dirkse, RN
• Disability Advocates of Kent County
• Halli Disbrow
• Amara Gayle Dischinger, PHARM.D
• Disclosures LLC
• Mary Disselkoen
• Lindsey Autumn Distefano, MA
• Daniel Kennay Distin, P.T., A.T.,C.
• Michael Kenneth Distler
• Danielle Erin Jo Ditrapani

• Clinical Social Worker in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.