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

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  • 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
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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)
1104100000XBehavioral Health & Social Service Providers

Social Worker

ASW28692 (CA)
21041C0700XBehavioral Health & Social Service Providers

Social Worker
Clinical

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.
1508190497
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2508290418
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 = 77

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
1982855037MS. 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
1346491271MRS. 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
1265684013MR. 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 Therapist91-2301 OLD FT WEAVER RD
EWA BEACH, HI 96706
(808) 671-8511
1255583894MRS. CHERYL KANOELANI BURNETT RN
Individual
Registered Nurse (Psychiatric/Mental Health)91-2301 OLD FT WEAVER RD
EWA BEACH, HI 96706
(808) 671-8511
1851545438MS. KELSEY HEATHER FAGAN
Individual
Art Therapist91-2301 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
1235360801MRS. JODY ANN MAIN
Individual
Registered Nurse (Psychiatric/Mental Health)91-2301 OLD FT WEAVER RD
EWA BEACH, HI 96706
(808) 677-2525
1427381524MRS. 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 Worker91-2301 OLD FT WEAVER RD
EWA BEACH, HI 96706
(808) 677-2525
1073817391 JAMES WILLIAMS
Individual
Marriage & Family Therapist91-2301 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.