Individual provider Active NPI

Marissa Schnell, MA, LPA, MSW, LCSW

  • Clinical Social Worker
  • Denver, NC
National Provider Identifier
1801495288
Registry record updated Oct 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C011847 Issued in NC
Practice address
8012 Norman Pointe Dr
Denver, NC 28037-7700
Phone
(704) 800-5405
NPI assigned
Oct 18, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2020

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 C011847 NC Primary

Addresses

Primary practice location

8012 Norman Pointe Dr
Denver, NC 28037-7700

Mailing address

8012 Norman Pointe Dr
Denver, NC 28037-7700
Phone (704) 800-5405

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
C011847NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Peaceful Shore Therapy, PLLC Clinical CurrentSince May 22, 2022 Accepting new patients

Locations

11330 Vanstory Dr
Ste 109F
Huntersville, NC 28078
Phone (704) 800-5405

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": "1602979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602979200000",
    "number": "1801495288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8012 NORMAN POINTE DR",
            "city": "DENVER",
            "state": "NC",
            "postal_code": "280377700",
            "telephone_number": "704-800-5405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8012 NORMAN POINTE DR",
            "city": "DENVER",
            "state": "NC",
            "postal_code": "280377700",
            "telephone_number": "704-800-5405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHNELL",
        "first_name": "MARISSA",
        "credential": "MA, LPA, MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-18",
        "last_updated": "2020-10-18",
        "certification_date": "2020-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C011847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2020; 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.