Marissa Soares, is a
Social Worker - Clinical based in Los Angeles, California. Marissa Soares is licensed to practice in California (license number 110555) and her current practice location is
5811 S San Pedro St, Los Angeles, California. She can be reached at her office (for appointments etc.) via phone at
(323) 234-4445.
NPI number for Marissa Soares is 1518689132 and her current mailing address is 5811 S San Pedro St, Los Angeles, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1518689132.
Healthcare Provider's Profile
| Full Name | Marissa Soares |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 5811 S San Pedro St, Los Angeles, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1518689132
- Provider Enumeration Date: 09/12/2022
- Last Update Date: 07/05/2023
Medical Identifiers
Medical identifiers for Marissa Soares such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1518689132 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 110555 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Marissa Soares is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Marissa Soares,
5811 S San Pedro St,
Los Angeles, CA 90011-5323
Ph: (323) 234-4445 | Marissa Soares,
5811 S San Pedro St,
Los Angeles, CA 90011-5323
Ph: (323) 234-4445 |
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