Individual provider Active NPI

Marissa Pycha, MSW

  • Social Worker
  • Dunkirk, MD
National Provider Identifier
1891586228
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
33091 Issued in MD
Practice address
2972 Penwick LN Ste 101
Dunkirk, MD 20754-2728
Phone
(301) 706-2804
NPI assigned
May 15, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 33091 MD Primary

Addresses

Primary practice location

2972 Penwick LN Ste 101
Dunkirk, MD 20754-2728

Mailing address

510 German Chapel Rd
Prince Frederick, MD 20678-3642
Phone (301) 706-2804

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

State licenses

LicenseStateTypeSpecialty
33091MDMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1747267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1891586228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 GERMAN CHAPEL RD",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206783642",
            "telephone_number": "301-706-2804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2972 PENWICK LN STE 101",
            "city": "DUNKIRK",
            "state": "MD",
            "postal_code": "207542728",
            "telephone_number": "301-706-2804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PYCHA",
        "first_name": "MARISSA",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-15",
        "last_updated": "2025-05-15",
        "certification_date": "2025-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "33091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunkirk, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.