Individual
MARISSA CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
201 N 8TH ST STE 4, SAINT MARIES, ID 83861-1869
(208) 597-7639
(208) 717-9450
Mailing address
13498 E LAY LN, MEDIMONT, ID 83842-9775
(208) 582-4024
(208) 717-9450
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
39959
ID
104100000X
Social Worker
Primary
LCSW-43558
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39959
LICENSE
ID
Enumeration date
08/28/2020
Last updated
10/30/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us