Individual provider · Type 1 NPI

Marissa Vellichor

Clinical Social Worker · Ewa Beach, HI

NPI number 1508190497 Active

Practice location

91-2301 Old Ft Weaver Rd
Ewa Beach, HI 96706-3602

Call (808) 542-0435 Map

Mailing address

826 Camino Real Unit 201
Redondo Beach, CA 90277-4329

Other practice locations

  • 450 Stanyan St # 3NORTH, San Francisco, CA 94117-1019 · (415) 750-5637

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XASW28692 (CA)
Clinical Social Worker 1041C0700X70022 (CA)
Clinical Social Worker Primary 1041C0700X4706 (HI)

Clinical Social Worker: 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 interpers…

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About NPI 1508190497

Marissa Vellichor's National Provider Identifier is 1508190497, issued on Sep 24, 2009. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Ewa Beach, HI. The record was last updated on Jul 22, 2024.