Mrs Marissa Rose Pena, LCSW is a
Social Worker - Clinical based in Jb Andrews, Maryland. Mrs Marissa Rose Pena is licensed to practice in New Mexico (license number C-07302) and her current practice location is
1060 W Perimeter Rd, Jb Andrews, Maryland. She can be reached at her office (for appointments etc.) via phone at
(240) 857-7186.
NPI number for Mrs Marissa Rose Pena is 1588869739 and her current mailing address is 3922 Old Columbia Pike, Ellicott City, Maryland. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1588869739.
Healthcare Provider's Profile
| Full Name | Mrs Marissa Rose Pena |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 1060 W Perimeter Rd, Jb Andrews, Maryland |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1588869739
- Provider Enumeration Date: 06/18/2007
- Last Update Date: 05/23/2021
Medical Identifiers
Medical identifiers for Mrs Marissa Rose Pena such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1588869739 | NPI | - | NPPES |
| LCSW-C | Other | MD | CLINICAL SOCIAL WORKER |
| LCDC | Other | TX | LICENSED CHEMICAL DEPENDENCY COUNSELOR |
| LCSW | Other | NM | CLINICAL SOCIAL WORK |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 11716 (Texas) | Secondary |
| 1041C0700X | Social Worker - Clinical | 27077 (Maryland) | Secondary |
| 1041C0700X | Social Worker - Clinical | C-07302 (New Mexico) | 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. Mrs Marissa Rose Pena 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 |
Mrs Marissa Rose Pena, LCSW 3922 Old Columbia Pike, Ellicott City, MD 21043-5411 Ph: (410) 310-4639 | Mrs Marissa Rose Pena, LCSW 1060 W Perimeter Rd, Jb Andrews, MD 20762-6602 Ph: (240) 857-7186 |
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