Individual provider Active NPI

Marissa Lauren Duarte, LCSW

  • Clinical Social Worker
  • Bartlett, TN
National Provider Identifier
1942191101
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9685 Issued in TN
Practice address
6551 Stage Oaks Dr Ste 4
Bartlett, TN 38134-3895
Phone
(901) 387-0026
NPI assigned
Jul 14, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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 9685 TN Primary

Addresses

Primary practice location

6551 Stage Oaks Dr Ste 4
Bartlett, TN 38134-3895

Mailing address

8915 Bristol Park Dr Apt 207
Bartlett, TN 38133-4168
Phone (901) 576-3738

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260124000237 TN Practitioner - Clinical Social Worker 3870081060 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2150 Whitney Ave
Memphis, TN 38127-6662

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9685TNMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Healthcare Services CurrentSince Dec 16, 2025 Accepting new patients
Alliance Healthcare Services Clinical CurrentSince Dec 16, 2025 Accepting new patients
Clover Counseling Services Inc Past Accepting new patients

Locations

2579 Douglass Ave
Memphis, TN 38114
Phone (901) 369-1418

2220 Union Ave
Memphis, TN 38104
Phone (901) 369-1480

3810 Winchester Rd
Memphis, TN 38118
Phone (901) 369-1400

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1752451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1942191101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8915 BRISTOL PARK DR APT 207",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381334168",
            "telephone_number": "901-576-3738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6551 STAGE OAKS DR STE 4",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381343895",
            "telephone_number": "901-387-0026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUARTE",
        "first_name": "MARISSA",
        "middle_name": "LAUREN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-14",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "9685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartlett, TN

Sources for this page

Verify at the official NPI Registry.