Maureen Rist Marchessault, LCSW-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

044391-1 Issued in NY

Practice address

21 Echo Valley Rd
Red Hook, NY 12571-2302

Phone

(845) 758-5955

NPI assigned

Aug 17, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Maureen Rist Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197936000000",
    "number": "1962494872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 ECHO VALLEY RD",
            "city": "RED HOOK",
            "state": "NY",
            "postal_code": "125712302",
            "telephone_number": "845-758-5955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 ECHO VALLEY RD",
            "city": "RED HOOK",
            "state": "NY",
            "postal_code": "125712302",
            "telephone_number": "845-758-5955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCHESSAULT",
        "first_name": "MAUREEN",
        "middle_name": "RIST",
        "name_prefix": "Ms.",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-17",
        "last_updated": "2007-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "044391-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS LCSWR LICENSE",
            "identifier": "044391-1",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAUREEN",
            "last_name": "RIST",
            "credential": "LCSW-R",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Timothy Stetson Louer, PHARMD
• Rachel Ann Jones Loughran, M.S., CCC-SLP
• Maureen E. Lynch-Rinaldi, AU.D.
• Thomas Mamera
• Jeffrey George Mansfield, M.S.P.T.
• Brenda J. Martin, LMT, CCA
• Martins Foods of South Burlington LLC
• Holly W. Mauskapf, CCC-SLP
• Paul Alan McElderry, L.AC., LMT, MS
• Lauren P McEvoy, LCSW

• All providers in Red Hook, NY
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2007; 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.