MARISSA COONEY (LMSW) – Social Worker, NPI 1891233532

MARISSA COONEY (LMSW) is a healthcare provider. based in Kalamazoo, Michigan. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LMSW. They hold a License No. 6801106108 (MI). The NPI Number for MARISSA COONEY (LMSW) is 1891233532

Main info

Female
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
MARISSA COONEY (LMSW)
NPI
1891233532
Phone
(269) 381-3700
Address
610 S BURDICK ST
Enumeration Date
2 February 2017
Last Update Date
27 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2697183366
Graduation Year
2017 (9 years ago)
PAC ID
1759732845
Group Practice PAC ID
2062861917
Professional Enrollment ID
I20240112003822
Address ID
MI490021774PO5900XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:9State licenses:1Digital endpointsOther names

4,821 CLINICAL SOCIAL WORKER in MI

Provider Addresses for MARISSA COONEY (LMSW)

  • 610 S BURDICK ST

    KALAMAZOO, MI 490075221

    Phone: (269) 381-3700

    Fax: (269) 381-3810

    Type: Mailing

  • 5900 PORTAGE RD

    PORTAGE, MI 490021774

    Phone: (269) 448-7264

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-01-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240112003822IClinical Social WorkerMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 49007)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2062861917View full group profile
NameSpecialtyState
Mental Health CounselorCO
Mental Health CounselorMI

Reviews

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Frequently asked questions

Can I cross-check MARISSA COONEY (LMSW) using NPI 1891233532?
NPI 1891233532 belongs to MARISSA COONEY (LMSW); compare other details if you need extra assurance.
Is MARISSA COONEY (LMSW) shown as active in public data?
Registry records indicate MARISSA COONEY (LMSW) maintains an active NPI.
What expertise is attributed to MARISSA COONEY (LMSW)?
MARISSA COONEY (LMSW)'s specialty line reads Social Worker. Clinical services aligned with this taxonomy classification.
Is MARISSA COONEY (LMSW) associated with Kalamazoo?
Public fields place MARISSA COONEY (LMSW) around Kalamazoo, Michigan. Always confirm the exact site before visiting.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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