Marissa Bain, LICSW
Individual provider Active NPI Clinical Social Worker · Woonsocket, RI
NPI 1821022393 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1821022393
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- ISW01731 (RI)
- Practice address
- 55 John a Cummings Way
Woonsocket, RI 02895-3247 - Phone
- (401) 235-7000
- NPI assigned
- Jul 10, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ISW01731 | RI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Care Alliance | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | ISW01731 | RI | Yes |
Addresses
Primary practice location
55 John a Cummings Way
Woonsocket, RI 02895-3247
Mailing address
2 Fera St
#107
North Providence, RI 02904-4100
Phone (401) 235-7000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MB50349 | Medicaid | RI | |
| 0000031091 | Other | RI | BLUE CROSS |
| 0000041302 | Other | RI | BLUE CHIP |
Other providers in Woonsocket, RI
- Patricia E Aznavourian
- Jacqueline Babitts
- Roberto A Baca
- Yolanda J Baez
- Stacie Ann Bagley
- Cathy Ellen Baker
- James Lee Baker
- Katarzyna Marta Bakhshalizadeh
- Ballou Home for the Aged of Woonsocket Rhode Island
- Jason Ballou
All providers in Woonsocket, RI · Clinical Social Worker in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.