Provider Demographics
NPI:1518088293
Name:ENGEL, MARISSA (LCSW)
Entity Type:Individual
Prefix:
First Name:MARISSA
Middle Name:
Last Name:ENGEL
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1301 S CAPITAL OF TEXAS HWY STE C100
Mailing Address - Street 2:
Mailing Address - City:WEST LAKE HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:78746-6589
Mailing Address - Country:US
Mailing Address - Phone:512-293-8373
Mailing Address - Fax:512-233-2648
Practice Address - Street 1:1301 S CAPITAL OF TEXAS HWY STE C100
Practice Address - Street 2:
Practice Address - City:WEST LAKE HILLS
Practice Address - State:TX
Practice Address - Zip Code:78746-6589
Practice Address - Country:US
Practice Address - Phone:512-293-8373
Practice Address - Fax:512-233-2648
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-02
Last Update Date:2021-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX387041041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical