Individual provider · Type 1 NPI

Marissa Jean Waite

Clinical Social Worker · Redding, CA

NPI number 1992316087 Active

Practice location

3648 El Portal Dr
Redding, CA 96002-3133

Call (530) 722-1114 Map

Mailing address

4141 Jasper Way
Redding, CA 96001-2951

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XASW140285 (CA)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed

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 1992316087

Marissa Jean Waite's National Provider Identifier is 1992316087, issued on Aug 12, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Redding, CA. The record was last updated on Aug 31, 2026.