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Contact Information

MARISA MEAD, LCSW
9650 ZELZAH AVE
NORTHRIDGE, CA91325-2003
 Phone: 818-993-9311
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Rehabilitation Practitioner

225400000X
 

Rehabilitation, Blind

2255R0406X
Indicates primary specialty

NPI Profile & details for MARISA MEAD · (Female)

NPI Number 1639646383
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 10/31/2018
Last updated 11/13/2025 - About 7 months ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 105378
  • CA License # 135465
  • CA Other F4524858 DEPARTMENT OF MOTOR VEHICLES
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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