National Provider Identifier
Marissa Bolt, LMSW
Marissa Bolt, LMSW is listed in the NPPES registry with a primary specialty of Social Worker in Rochester, NY and a listed phone number of (585) 397-2784.
Profile Overview
- NPI
- 1023780814
- Provider Type
- Individual
- Primary Specialty
- Social Worker
- Enumeration Date
- September 30, 2021
- Last Updated
- September 30, 2021
Practice Location
- 1425 Portland Ave
- Rochester, NY 14621-3011
Phone: (585) 397-2784
Specialties
- Social Worker (104100000X)
Full Record
- NPI
- 1023780814
- Entity Type
- Individual
- Last Name
- Bolt
- First Name
- Marissa
- Credential
- LMSW
- Mailing Street Address
- 1425 Portland Ave
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14621-3011
- Mailing Country
- US
- Practice Street Address
- 1425 Portland Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14621-3011
- Practice Country
- US
- Practice Phone
- (585) 397-2784
- Enumeration Date
- September 30, 2021
- Last Updated
- September 30, 2021
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- September 27, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Social Worker (104100000X)