Miss Marissa Kirch, LCSW, CADC is a
Social Worker - Clinical based in Dekalb, Illinois. Miss Marissa Kirch is licensed to practice in Illinois (license number 149.017161) and her current practice location is
12 Health Services Dr, Dekalb, Illinois. She can be reached at her office (for appointments etc.) via phone at
(630) 414-3394.
NPI number for Miss Marissa Kirch is 1639562101 and her current mailing address is Po Box 1109, Dekalb, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1639562101.
Healthcare Provider's Profile
Full Name | Miss Marissa Kirch |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 12 Health Services Dr, Dekalb, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1639562101
- Provider Enumeration Date: 03/09/2015
- Last Update Date: 01/15/2020
Medical Identifiers
Medical identifiers for Miss Marissa Kirch such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1639562101 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 32235 (Illinois) | Secondary |
1041C0700X | Social Worker - Clinical | 149.017161 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Miss Marissa Kirch is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Miss Marissa Kirch, LCSW, CADC Po Box 1109, Dekalb, IL 60115-7109 Ph: () - | Miss Marissa Kirch, LCSW, CADC 12 Health Services Dr, Dekalb, IL 60115-9637 Ph: (630) 414-3394 |
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