National Provider Identifier
Marissa Marie Holloway, LMSW
Marissa Marie Holloway, LMSW is listed in the NPPES registry with a primary specialty of Social Worker in Sodus, NY and a listed phone number of (315) 573-1520.
Profile Overview
- NPI
- 1679327977
- Provider Type
- Individual
- Primary Specialty
- Social Worker
- Enumeration Date
- April 15, 2024
- Last Updated
- April 15, 2024
Practice Location
- 31 Mill St Apt 1
- Sodus, NY 14551-1162
Phone: (315) 573-1520
Specialties
- Social Worker (104100000X)
Full Record
- NPI
- 1679327977
- Entity Type
- Individual
- Last Name
- Holloway
- First Name
- Marissa
- Middle Name
- Marie
- Credential
- LMSW
- Mailing Street Address
- 31 Mill St Apt 1
- Mailing City
- Sodus
- Mailing State
- NY
- Mailing ZIP Code
- 14551-1162
- Mailing Country
- US
- Mailing Phone
- (315) 573-1520
- Practice Street Address
- 31 Mill St Apt 1
- Practice City
- Sodus
- Practice State
- NY
- Practice ZIP Code
- 14551-1162
- Practice Country
- US
- Practice Phone
- (315) 573-1520
- Enumeration Date
- April 15, 2024
- Last Updated
- April 15, 2024
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- April 13, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Social Worker (104100000X)