Provider Demographics
NPI:1356051197
Name:OHRINER, MARISSA (LMSW)
Entity type:Individual
Prefix:MRS
First Name:MARISSA
Middle Name:
Last Name:OHRINER
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:MS
Other - First Name:MARISSA
Other - Middle Name:
Other - Last Name:COSENTINO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:1228 POWELL AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH MERRICK
Mailing Address - State:NY
Mailing Address - Zip Code:11566-1811
Mailing Address - Country:US
Mailing Address - Phone:516-557-6429
Mailing Address - Fax:
Practice Address - Street 1:1260 MEADOWBROOK RD
Practice Address - Street 2:
Practice Address - City:MERRICK
Practice Address - State:NY
Practice Address - Zip Code:11566-1542
Practice Address - Country:US
Practice Address - Phone:516-374-3671
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-02
Last Update Date:2022-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY117779104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker