Marissa Jean Waite

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ASW140285 Issued in CA

Practice address

3648 El Portal Dr
Redding, CA 96002-3133

Phone

(530) 722-1114

NPI assigned

Aug 12, 2020

Last updated

Aug 31, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1597190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1992316087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4141 JASPER WAY",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960012951",
            "telephone_number": "530-691-3991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3648 EL PORTAL DR",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960023133",
            "telephone_number": "530-722-1114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAITE",
        "first_name": "MARISSA",
        "middle_name": "JEAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-12",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ASW140285",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam Wagner, PHARM.D.
• Corinna Wagner, MFTT
• Dianna Lee Wagner, MFT
• Cherie Arianna Wahl
• Desiree Waidelich
• Eric R Waits, DMD
• Froozandeh H Waits, PHARMACIST
• Susan Lofsness Waits, MS, PA-C
• Eden Waldon, APCC
• Walgreen Co (Walgreens #05699)

• Clinical Social Worker in Redding, CA
• Providers in Redding, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; 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.