Individual provider · Type 1 NPI

Marissa Wallace, LMSW

School Social Worker · Hyattsville, MD

NPI number 1114835154 Active

Practice location

8200 Professional Pl Ste 107
Hyattsville, MD 20785-2293

Call (301) 710-8270 Map

Mailing address

2804 Trumpeter Ct
Waldorf, MD 20601-2613

Other practice locations

  • 5410 Kirby Rd, Clinton, MD 20735-1421 · (301) 449-4980

Specialties and licenses

TaxonomyCodeLicense
School Social Worker Primary 1041S0200XLMSW-35352 (MD)

School Social Worker: Definition to come...

2 other providers at this address

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About NPI 1114835154

Marissa Wallace, LMSW's National Provider Identifier is 1114835154, issued on Aug 31, 2026. The primary taxonomy on file is School Social Worker (1041S0200X), and the practice location is in Hyattsville, MD. The record was last updated on Aug 31, 2026.