NPIMap

Organization Active NPI

Marissa Mateer, LLC

  • Clinical Social Worker
  • Sewickley, PA
National Provider Identifier
1922520089
Registry record updated Jul 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW018005 Issued in PA
Legal business name
MARISSA MATEER, LLC
Practice address
342 Duquesne Way
Sewickley, PA 15143-1458
Phone
(724) 601-4836
NPI assigned
Jul 11, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2017

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

Authorized official

Name
Marissa MateerNPI 1619252962
Title
Licensed Clinical Social Worker
Phone
(724) 601-4836

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X CW018005 PA Primary

Addresses

Primary practice location

342 Duquesne Way
Sewickley, PA 15143-1458

Mailing address

342 Duquesne Way
Sewickley, PA 15143-1458

Other names 1

  • Nurture Your Mind Counseling Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1499731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1499731200000",
    "number": "1922520089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "342 DUQUESNE WAY",
            "city": "SEWICKLEY",
            "state": "PA",
            "postal_code": "151431458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "342 DUQUESNE WAY",
            "city": "SEWICKLEY",
            "state": "PA",
            "postal_code": "151431458",
            "telephone_number": "724-601-4836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARISSA MATEER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-11",
        "last_updated": "2017-07-11",
        "status": "A",
        "authorized_official_last_name": "MATEER",
        "authorized_official_first_name": "MARISSA",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "724-601-4836"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW018005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nurture Your Mind Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sewickley, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2017; 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.