Marissa Carlson, LCSW
NPI 1124631171 · Social Worker · Saint Maries, ID
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Marissa Carlson, LCSW is a Social Worker provider in Saint Maries, ID (NPI 1124631171).
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
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
Mailing address
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
Frequently asked questions
- What is Marissa Carlson's NPI number?
- Marissa Carlson's National Provider Identifier (NPI) is 1124631171, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Marissa Carlson's specialty?
- Marissa Carlson is listed in the NPPES registry with a primary specialty of Social Worker (Behavioral Health & Social Service Providers).
- Where is Marissa Carlson located?
- Marissa Carlson's practice location on file with NPPES is 201 N 8th St Ste 4, Saint Maries, ID 83861-1869.
- What is Marissa Carlson's phone number?
- The practice phone number listed in the NPPES registry for Marissa Carlson is (208) 597-7639.
- Does Marissa Carlson accept Medicare?
- Marissa Carlson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Marissa Carlson's NPI active?
- Yes — Marissa Carlson's NPI (1124631171) is active in the NPPES registry as of the last update on 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.