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Contact Information

MARISSA C ENGLEMAN, MSW, LCSW, LICSW
10775 PIONEER TRL STE 215
TRUCKEE, CA96161-0234
 Phone: 415-424-4266
 Fax: 415-520-6633
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

School

1041S0200X
Indicates primary specialty

NPI Profile & details for MARISSA C ENGLEMAN · (Female)

NPI # 1699184838
Status Active
Credentials MSW, LCSW, LICSW
Entity Individual
Enumeration date 08/12/2014
Last updated 01/16/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • AZ License # 22739
  • CA License # 101866
  • IA License # 127135
  • WA License # LW61290810
  • CA Medicaid 100367642
  • IA Medicaid 0515282
  • WA Medicaid 2228623
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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