MARISSA VELLICHOR
NPI 1508190497
Social Worker - Clinical in Ewa Beach, HI
NPI Status: Active since September 24, 2009
Contact Information
91-2301 OLD FT WEAVER RD
EWA BEACH, HI
ZIP 96706
Phone: (808) 542-0435
- Individual
- Female
- Social Worker
- Clinical
- Opted-Out Medicare
About MARISSA VELLICHOR
This page provides the complete NPI Profile along with additional information for Marissa Vellichor, a provider established in Ewa Beach, Hawaii with a medical specialization in Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1508190497 assigned on September 2009. The practitioner's primary taxonomy code is 1041C0700X with license number 4706 (HI). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1508190497
- Provider Name
- MARISSA VELLICHOR
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 91-2301 OLD FT WEAVER RD EWA BEACH, HI 96706
- Location Phone
- (808) 542-0435
- Mailing Address
- 826 CAMINO REAL UNIT 201 REDONDO BEACH, CA 90277
- Mailing Phone
- (808) 542-0435
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 09-24-2009
- Last Update Date
- 07-22-2024
- Code Navigator
A clinical social worker like Marissa Vellichor is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Marissa Vellichor opted out of Medicare effective on 01-01-2023 until 01-01-2027. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
Location Map
Secondary Locations
- 450 Stanyan St # 3North
San Francisco, CA 94117
(415) 750-5637
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Social Worker Clinical
- Taxonomy Code
- 1041C0700X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 4706
- License State
- HI
- Taxonomy Description
- A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
---|---|---|---|---|
1 | 104100000X | Behavioral Health & Social Service Providers | Social Worker | ASW28692 (CA) |
2 | 1041C0700X | Behavioral Health & Social Service Providers | Social Worker | 70022 (CA) |
Medicare Participation & PECOS Enrollment Status
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 01-01-2023
Opt-Out End Date: 01-01-2027
Eligible to Order and Refer? No
Reviews for MARISSA VELLICHOR
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 5 | 0 | 8 | 1 | 9 | 0 | 4 | 9 | 7 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 5 | 0 | 8 | 2 | 9 | 0 | 4 | 18 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 5 + 0 + 8 + 2 + 9 + 0 + 4 + 1 + 8 + 24 = 63 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
70 - 63 = 7 | 7 |
The NPI number 1508190497 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1194976753 | EDWARD DAMIAN UZUETA RN Individual | Registered Nurse (Psychiatric/Mental Health) | 91-2301 OLD FT WEAVER RD EWA BEACH, HI 96706 (808) 671-8511 |
1922259407 | DIANA BRADNER Individual | Registered Nurse (Psychiatric/Mental Health) | 91-2301 OLD FT WEAVER RD EWA BEACH, HI 96706 (808) 677-8511 |
1720239122 | CAROLYN J SANDISON RN Individual | Registered Nurse (Psychiatric/Mental Health) | 91-2301 OLD FT WEAVER RD EWA BEACH, HI 96706 (808) 671-2525 |
1790936086 | ROSS FUJIMOTO Individual | Registered Nurse (Psychiatric/Mental Health) | 91-2301 OLD FT WEAVER RD EWA BEACH, HI 96706 (808) 671-8511 |
1245481530 | KRISTIN PAULO Individual | Registered Nurse (Psychiatric/Mental Health) | 91-2301 OLD FT WEAVER RD EWA BEACH, HI 96706 (808) 671-8511 |
1982855037 | MS. LARETTA JOAN DUBIN RN Individual | Registered Nurse (Psychiatric/Mental Health) | 91-2301 OLD FT WEAVER RD EWA BEACH, HI 96706 (808) 671-8511 |
1326299330 | CATHERINE CRUZ LUBIN RN Individual | Registered Nurse (Psychiatric/Mental Health) | 91-2301 OLD FT WEAVER RD EWA BEACH, HI 96706 (808) 671-8511 |
1730330697 | ROMULO PUNZALAN OCONER RN Individual | Registered Nurse (Psychiatric/Mental Health) | 91-2301 OLD FT WEAVER RD EWA BEACH, HI 96706 (808) 671-8511 |
1346491271 | MRS. LISA DIANE (COBB-MAIDEN) HOFFMAN RN Individual | Registered Nurse (Psychiatric/Mental Health) | 91-2301 OLD FT WEAVER RD EWA BEACH, HI 96706 (808) 671-8511 |
1265684013 | MR. FRANKLIN DUMLAO Individual | Counselor (School) | 91-2301 OLD FT WEAVER RD EWA BEACH, HI 96706 (808) 671-8511 |
1134371693 | DAWN MAUREEN NOGUCHI-LUI Individual | Occupational Therapist | 91-2301 OLD FT WEAVER RD EWA BEACH, HI 96706 (808) 671-8511 |
1255583894 | MRS. CHERYL KANOELANI BURNETT RN Individual | Registered Nurse (Psychiatric/Mental Health) | 91-2301 OLD FT WEAVER RD EWA BEACH, HI 96706 (808) 671-8511 |
1851545438 | MS. KELSEY HEATHER FAGAN Individual | Art Therapist | 91-2301 OLD FT WEAVER RD EWA BEACH, HI 96706 (808) 671-8511 |
1376785592 | SUSAN JANE STOCK Individual | Registered Nurse (Psychiatric/Mental Health) | 91-2301 OLD FT WEAVER RD EWA BEACH, HI 96706 (808) 671-8511 |
1235360801 | MRS. JODY ANN MAIN Individual | Registered Nurse (Psychiatric/Mental Health) | 91-2301 OLD FT WEAVER RD EWA BEACH, HI 96706 (808) 677-2525 |
1427381524 | MRS. PATRICIA B BAROODY Individual | Counselor (Mental Health) | 91-2301 OLD FT WEAVER RD EWA BEACH, HI 96706 (808) 671-8511 |
1003142720 | KATE TRACHTE Individual | Social Worker (Clinical) | 91-2301 OLD FT WEAVER RD EWA BEACH, HI 96706 (808) 671-8511 |
1851611735 | SHARON KIMIKO TAMANAHA Individual | Social Worker | 91-2301 OLD FT WEAVER RD EWA BEACH, HI 96706 (808) 677-2525 |
1073817391 | JAMES WILLIAMS Individual | Marriage & Family Therapist | 91-2301 OLD FT WEAVER RD EWA BEACH, HI 96706 (808) 677-2525 |
1659678720 | REYVAN FLORES Individual | Counselor (Mental Health) | 91-2301 OLD FT WEAVER RD EWA BEACH, HI 96706 (808) 677-2525 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1508190497, enumerated in the NPI registry as an "individual" on September 24, 2009
The provider is located at 91-2301 Old Ft Weaver Rd Ewa Beach, Hi 96706 and the phone number is (808) 542-0435
The provider's speciality is Social Worker with taxonomy code 1041C0700X with a focus in Clinical
No, the provider signed an affidavit on January 01, 2023 to opt-out of the Medicare program. The provider is excluded from the Medicare program until January 01, 2027.
This NPI record was last updated on September 24, 2009. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.