Provider Demographics
NPI:1801495288
Name:SCHNELL, MARISSA (MA, LPA, MSW, LCSW)
Entity type:Individual
Prefix:
First Name:MARISSA
Middle Name:
Last Name:SCHNELL
Suffix:
Gender:F
Credentials:MA, LPA, MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8012 NORMAN POINTE DR
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:NC
Mailing Address - Zip Code:28037-7700
Mailing Address - Country:US
Mailing Address - Phone:704-800-5405
Mailing Address - Fax:
Practice Address - Street 1:8012 NORMAN POINTE DR
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:NC
Practice Address - Zip Code:28037-7700
Practice Address - Country:US
Practice Address - Phone:704-800-5405
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-18
Last Update Date:2020-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0118471041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical