Individual provider Active NPI

Marisha Lachelle Griffin-Essex, LCSW

  • Clinical Social Worker
  • Bridgeton, MO
National Provider Identifier
1902243587
Registry record updated Mar 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2011020360 Issued in MO
Practice address
3159 Fee Fee Rd
Suite 206
Bridgeton, MO 63044-3299
Phone
(314) 398-9850
NPI assigned
May 23, 2013
Last updated
Mar 5, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2019

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 2011020360 MO Primary

Addresses

Primary practice location

3159 Fee Fee Rd
Suite 206
Bridgeton, MO 63044-3299

Mailing address

PO Box 451
Florissant, MO 63032-0451
Phone (314) 398-9850

Other practice location 1

102 Compass Point Dr
Saint Charles, MO 63301-4404
Phone (888) 403-1071

Other identifiers 1

IdentifierTypeStateIssuer
1902243587MedicaidMO

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
2011020360MOMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1369267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551744000000",
    "number": "1902243587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 451",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630320451",
            "telephone_number": "314-398-9850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3159 FEE FEE RD",
            "address_2": "SUITE 206",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630443299",
            "telephone_number": "314-398-9850"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "102 Compass Point Dr",
            "address_purpose": "LOCATION",
            "city": "Saint Charles",
            "state": "MO",
            "postal_code": "633014404",
            "country_code": "US",
            "telephone_number": "888-403-1071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRIFFIN-ESSEX",
        "first_name": "MARISHA",
        "middle_name": "LACHELLE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-23",
        "last_updated": "2019-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2011020360",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1902243587",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeton, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2019; 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.