Marisa Mansfield, PLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MARISA MANSFIELD, PLC

Practice address

1926 W 4TH St
Davenport, IA 52802-1628

Phone

(563) 362-2815

NPI assigned

Apr 14, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Marisa Mansfield, LISWNPI 1891202370

Title

Clinical Social Worker

Phone

(563) 362-2815

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marisa Mansfield, LISW

  • Social Worker
  • Davenport, IA
  • NPI 1891202370
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1618358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618358400000",
    "number": "1902487739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1037 MEADOWVIEW LN",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528062807",
            "telephone_number": "563-676-8521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1926 W 4TH ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528021628",
            "telephone_number": "563-362-2815"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "102 E 2nd St",
            "address_purpose": "LOCATION",
            "city": "Davenport",
            "state": "IA",
            "postal_code": "528011502",
            "country_code": "US",
            "telephone_number": "563-362-2815",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MARISA MANSFIELD, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-14",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A",
        "authorized_official_last_name": "MANSFIELD",
        "authorized_official_first_name": "MARISA",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "563-362-2815",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLINICAL LICENSE",
            "identifier": "082627",
            "state": "IA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "marisa@bluetreecounseling.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1926 W 4th St",
            "city": "Davenport",
            "state": "IA",
            "country_code": "US",
            "postal_code": "528021628",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "marisa@bluetreecounseling.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "102 E 2nd St",
            "city": "Davenport",
            "state": "IA",
            "country_code": "US",
            "postal_code": "528011502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Angelita Manuel, DNP
• France B Many, ARNP
• Melissa Ann Maranda, MA, LMHC
• Holle Ahna Maricle, M.A., CCC-SLP
• Stephen E. Marinan, LISW
• Amanda Markovich, OTR/L
• Vicky Jo Marland, RPH
• Julia Marmion, PH.D.
• Olivia Marquardt
• Cherie L. Marriott, D.C.

• Clinical Social Worker in Davenport, IA
• Providers in Davenport, IA by specialty
• Clinical Social Worker in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.