National Provider Identifier

Marissa Lawrence, LCSW

Marissa Lawrence, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Victor, NY and a listed phone number of (585) 398-8835.

NPI 1477354496Victor, NYClinical Social Worker

Profile Overview

NPI
1477354496
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
March 24, 2025
Last Updated
March 24, 2025

Practice Location

  • 6539 Anthony Dr Ste A
  • Victor, NY 14564-1441

Phone: (585) 398-8835

Mailing Address

  • 31 Woodworth St
  • Victor, NY 14564-1341

Specialties

  • Clinical Social Worker (1041C0700X)
Full Record
NPI
1477354496
Entity Type
Individual
Last Name
Lawrence
First Name
Marissa
Credential
LCSW
Provider Other Last Name
O'Neal
Provider Other First Name
Marissa
Provider Other Credential Text
LMSW
Provider Other Last Name Type Code
1
Mailing Street Address
31 Woodworth St
Mailing City
Victor
Mailing State
NY
Mailing ZIP Code
14564-1341
Mailing Country
US
Mailing Phone
(585) 490-2971
Practice Street Address
6539 Anthony Dr Ste A
Practice City
Victor
Practice State
NY
Practice ZIP Code
14564-1441
Practice Country
US
Practice Phone
(585) 398-8835
Enumeration Date
March 24, 2025
Last Updated
March 24, 2025
Sex
Female
Sole Proprietor
Yes
Certification Date
March 24, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X)