IndividualActive
Marissa Carlson, LCSW
NPI 1124631171 · Social Worker · Saint Maries, ID
Provider details
- NPI number
- 1124631171
- Entity type
- Individual
- Primary specialty
- Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- 39959 (ID)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
201 N 8th St Ste 4
Saint Maries, ID 83861-1869
Phone: (208) 597-7639
Fax: (208) 717-9450
Street-level locationGet directions
Mailing address
13498 E Lay Ln
Medimont, ID 83842-9775
Additional practice locations (1)
- 13498 E Lay LnMedimont, ID 83842-9775Phone: (208) 582-4024Fax: (208) 717-9450
Registry dates
- Enumerated
- 2020-08-28
- Last updated
- 2024-10-30
- Certified
- 2024-10-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.