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.

NPI 1023780814Rochester, NYSocial Worker

Source: public NPPES record, last updated September 30, 2021. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.

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)

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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)