| Marissa Nesgoda, LCSW | |
|
108 W Catawissa St, Nesquehoning, PA 18240-1501 | |
| (570) 645-9787 | |
| Not Available |
| Full Name | Marissa Nesgoda |
|---|---|
| Gender | Female |
| Speciality | Social Worker |
| Location | 108 W Catawissa St, Nesquehoning, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275115032 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| Entity Name | The Carbon-schuylkill Community Hospital, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194891010 PECOS PAC ID: 4486562030 Enrollment ID: O20031117000015 |
| Entity Name | St Lukes Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700984622 PECOS PAC ID: 6709798333 Enrollment ID: O20040226000062 |
| Mailing Address | Practice Location Address |
|---|---|
| Marissa Nesgoda, LCSW 77 S Commerce Way, Bethlehem, PA 18017-8891 Ph: () - | Marissa Nesgoda, LCSW 108 W Catawissa St, Nesquehoning, PA 18240-1501 Ph: (570) 645-9787 |
Jennifer Rarich, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 108 W Catawissa St, Nesquehoning, PA 18240 Phone: 570-669-9787 Fax: 570-669-9785 | |
Anne Hoover-smith, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 108 W Catawissa St, Nesquehoning, PA 18240 Phone: 570-669-9787 |