P Praxis·MD
● Active Type 1 · Individual

Marissa Carlson, LCSW

Social Worker·Saint Maries, ID· NPI 1124631171 · Enumerated 2020 · 5 years on NPI
Carlson is 1 of 2 social worker providers in Saint Maries and 1 of 1613 in Idaho.
NPI age
5 years
Enumerated 2020-08-28
Primary specialty
Social Worker
Plus 1 subspecialty
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-10-30
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 1613 active social worker providers in Idaho.

NPI age
5 years
≈ at median (5 yr)
State licenses
1 state
1% of peers hold multiple states
Subspecialties
0
11% of peers hold subspecialties

NPI lifetime · 2020 → 2026

2020-08Enumerated in NPPES
2020 2026

Where they practice

Practice location
201 N 8th St Ste 4
Saint Maries, ID 838611869
📞 2085977639fax 2087179450
Mailing address
13498 E Lay Ln
Medimont, ID 838429775
📞 2085824024fax 2087179450

Additional practice locations

1 secondary location on file with NPPES.

Location 2
13498 E Lay Ln
Medimont, ID 838429775
📞 2085824024fax 2087179450

Specialties

  • Social Worker Primary
    A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and...
    ID license #LCSW-43558ID license #39959 taxonomy 104100000X

Identifiers

TypeValueNotes
01 (ID) 39959 LICENSE

Practice context

Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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