Marissa Earls, LSW
Social Worker, Clinical in Mason, OH. Individual provider (NPI-1).
NPI number1689058596
StatusActive
Last updated in NPPESJul 17, 2015
Details
- NPI
- 1689058596
- Entity type
- Individual (NPI-1)
- Name
- Marissa Earls
- Credential
- LSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 10, 2015
- Last updated
- Jul 17, 2015
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | S-1500963 | OH | Yes |
Practice location
201 Reading RdMason, OH 45040-1666
Phone 513-398-2551 · Fax 513-459-7300
Mailing address
204 Cook RdSuite 400
Lebanon, OH 45036-9600
Phone 513-228-7800 · Fax 513-695-2952
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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